JAMES J KELLY D.O.
NPI 1871593053
Orthopaedic Surgery - Hand Surgery in Amherst, NY

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
84.49/100
CMS Quality Rating
3925 SHERIDAN DR, AMHERST, NY 14226(716) 250-9999 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James J Kelly D.o. NPPES

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

JAMES J KELLY D.O. (NPI 1871593053) is an individual hand surgery provider in Amherst, New York, licensed in New York (189303) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Philadelphia College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1871593053
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJAMES J KELLYCredential: D.O.
Location Address3925 SHERIDAN DRAmherst, NY 14226-1738
Mailing Address3925 Sheridan DrAmherst, NY 14226-1738 · (716) 250-9999
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1987
Enumeration DateJuly 28, 2005
Last NPPES UpdateMarch 1, 2018
NPI 1871593053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NY · 189303
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
3925 SHERIDAN DR, Amherst, NY 14226

Other Identifiers 5

Medicaid01438013NY
Other00010089101NY · Univera
Other000524163001NY · Blue Cross Blue Shield
OtherOPCOS189303NY · Workers Compensation Boar
Other0905716NY · Independent Health

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

James J Kelly D.o. 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 ID4486689213
PECOS Enrollment IDI20120201000318
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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
187 services69 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
71 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services58 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
52 services38 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
44 services37 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
40 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

84.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.3
Promoting Interoperability91
Improvement Activities40
Cost72.28

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.

Massage Therapist
3925 SHERIDAN DR
AMHERST, NY 14226
Physician Assistant
3925 SHERIDAN DR
AMHERST, NY 14226
Orthopaedic Surgery
3925 SHERIDAN DR
AMHERST, NY 14226
Physical Therapist (Orthopedic)
3925 SHERIDAN DR
AMHERST, NY 14226
Physical Therapist
3925 SHERIDAN DR, SUITE 100
AMHERST, NY 14226
Student in an Organized Health Care Education/Training Program
3925 SHERIDAN DR, C/O ANNIE CUMBO, SUITE 100
AMHERST, NY 14226
Orthopaedic Surgery
3925 SHERIDAN DR
AMHERST, NY 14226
Physician Assistant
3925 SHERIDAN DR
AMHERST, NY 14226

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 James Kelly's NPI number?

The NPI number for James Kelly is 1871593053. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is James Kelly located?

James Kelly practices at 3925 Sheridan Dr, Amherst, NY 14226. The listed phone number is (716) 250-9999.

What is James Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is James Kelly enrolled in Medicare?

Yes. James Kelly 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.

Is James Kelly affiliated with any hospitals?

According to CMS data, James Kelly is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.