KELLY MARIE AXSOM MD
NPI 1841459997
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in New York, NY

Active since June 04, 2008PECOS Enrolled
100/100
CMS Quality Rating
622 W 168TH ST, NEW YORK, NY 10032(646) 317-2268 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2018, Jun 12, 2018 (2 updates tracked since 2018).

About Kelly Marie Axsom Md NPPES

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

KELLY MARIE AXSOM MD (NPI 1841459997) is an individual advanced heart failure and transplant cardiology provider in New York, New York, licensed in New York (258685) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841459997
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameKELLY MARIE AXSOMCredential: MD
Location Address622 W 168TH STNew York, NY 10032
Mailing Address630 W 168th St, Box 4New York, NY 10032-3725 · (646) 317-2268
Sole ProprietorNo
Enumeration DateJune 4, 2008
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
NPI 1841459997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in NY · 258685
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

622 W 168TH ST, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Marie Axsom Md 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.

Areas of Expertise CMS Part B claims 8

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.
197 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services45 patients
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.
91 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services22 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Prosthetic/Orthotic Supplier
622 W 168TH ST, VC333
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
622 W 168TH ST, PH 12 - ROOM 134
NEW YORK, NY 10032
Pediatrics
622 W 168TH ST, STE 137
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST, VC-5
NEW YORK, NY 10032
Emergency Medicine (Pediatric Emergency Medicine)
622 W 168TH ST, PH 137-1
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST, PH 1-137
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST, PH1-137
NEW YORK, NY 10032
Nurse Anesthetist, Certified Registered
622 W 168TH ST
NEW YORK, NY 10032

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 Kelly Axsom's NPI number?

The NPI number for Kelly Axsom is 1841459997. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Kelly Axsom located?

Kelly Axsom practices at 622 W 168th St, New York, NY 10032. The listed phone number is (646) 317-2268.

What is Kelly Axsom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Kelly Axsom enrolled in Medicare?

Yes. Kelly Axsom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Axsom was last updated on June 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.