Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN KELEMEN M.D.
NPI 1811973449
Psychiatry & Neurology - Neurology in Plainview, NY

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
824 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 822-2230(516) 822-0163 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Kelemen M.d. NPPES

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

DR. JOHN KELEMEN M.D. (NPI 1811973449) is an individual neurology provider in Plainview, New York, licensed in New York (129480) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1974).

NPPES Registry Identity

NPI1811973449
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JOHN KELEMENCredential: M.D.
Location Address824 OLD COUNTRY RDPlainview, NY 11803-4950
Mailing Address824 Old Country RdPlainview, NY 11803-4950 · (516) 822-2230 · Fax (516) 822-0163
Fax(516) 822-0163
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1974
Enumeration DateDecember 15, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1811973449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 129480
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
824 OLD COUNTRY RD, Plainview, NY 11803

Other Identifiers 7

Medicaid00942549NY
OtherAS410NY · Oxford
Other0702646-011NY · Cigna
Other948742NY · United Healthcare
Other4203368NY · Aetna
Other0064091NY · Aetna Ushc
Other39A261NY · Empire Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Kelemen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678583440
PECOS Enrollment IDI20120203000668
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
492 services209 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
139 services26 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
139 services26 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
132 services52 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
73 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD
PLAINVIEW, NY 11803
Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD
PLAINVIEW, NY 11803
Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD, MRI SUITE
PLAINVIEW, NY 11803
Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD
PLAINVIEW, NY 11803
Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD
PLAINVIEW, NY 11803
Psychiatry & Neurology (Neurology)
824 OLD COUNTRY RD
PLAINVIEW, NY 11803

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 John Kelemen's NPI number?

The NPI number for John Kelemen is 1811973449. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is John Kelemen located?

John Kelemen practices at 824 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 822-2230.

What is John Kelemen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Kelemen enrolled in Medicare?

Yes. John Kelemen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Kelemen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.