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DR. KRISTINE KELLEY M.D.
NPI 1811968621
Surgery in Scranton, PA

Active since January 30, 2006PECOS Enrolled
225 PENN AVE, SCRANTON, PA 18503(570) 342-7864(570) 342-7119 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristine Kelley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTINE KELLEY M.D. (NPI 1811968621) is an individual surgery provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD032146E) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1811968621
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KRISTINE KELLEYCredential: M.D.
Location Address225 PENN AVEScranton, PA 18503-1921
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 342-7864
Fax(570) 342-7119
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1811968621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD032146E
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedLegal MedicineTaxonomy 173000000X · License MD-032146-E (PA)
225 PENN AVE, Scranton, PA 18503
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Secondary Practice Location 1

Location 1300 Lackawanna Ave Ste 200Scranton, PA 18503-2001 · Phone (570) 342-7864 · Fax (570) 840-2987

Other Identifiers 1

Medicaid0011243520001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristine Kelley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers14 claims53 services$29.30 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
3 suppliers11 claims12 services$268.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES J. ROCHE M.D.
Surgery
225 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-1643
BEVERLY BARONE TOMASETTI NP
Nurse Practitioner (Adult Health)
225 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-7864
ROBERT J. CONCINI PA-C
Physician Assistant (Medical)
225 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-7864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Kelley's NPI number?

The NPI number for Kristine Kelley is 1811968621. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Kristine Kelley located?

Kristine Kelley practices at 225 Penn Ave, Scranton, PA 18503. The listed phone number is (570) 342-7864.

What is Kristine Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kristine Kelley enrolled in Medicare?

Yes. Kristine Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Kelley was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.