KELSEY ELIZABETH SULLIVAN HOIDAL MD
NPI 1821448499
Surgery in Phoenix, AZ

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 521-5944 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Jul 7, 2022, May 10, 2022 and 2 more (5 updates tracked since 2016).

About Kelsey Elizabeth Sullivan Hoidal Md NPPES

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

KELSEY ELIZABETH SULLIVAN HOIDAL MD (NPI 1821448499) is an individual surgery provider in Phoenix, Arizona, licensed in Arizona (68834) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2016).

NPPES Registry Identity

NPI1821448499
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKELSEY ELIZABETH SULLIVAN HOIDALCredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address201 Abraham Flexner Way Ste 1200Louisville, KY 40202-3841 · (502) 562-3000
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateMarch 7, 20245 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1821448499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · 68834
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 ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 68834 (AZ)
1111 E MCDOWELL RD, Phoenix, AZ 85006

Accepted Insurance

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

Kelsey Elizabeth Sullivan Hoidal Md 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 ID42614257
PECOS Enrollment IDI20230516000760
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

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 Kelsey Hoidal's NPI number?

The NPI number for Kelsey Hoidal is 1821448499. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Kelsey Hoidal located?

Kelsey Hoidal practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 521-5944.

What is Kelsey Hoidal's specialty?

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

Is Kelsey Hoidal enrolled in Medicare?

Yes. Kelsey Hoidal 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.

What insurance does Kelsey Hoidal accept?

Health plans from Blue Cross Blue Shield of Arizona list Kelsey Hoidal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Hoidal was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.