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BRENNAN L KELLY PAC
NPI 1881096311
Physician Assistant - Surgical in Kettering, OH

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429(937) 643-9299(937) 643-2343 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Mar 7, 2019 (2 updates tracked since 2019).

About Brennan L Kelly Pac NPPES

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

BRENNAN L KELLY PAC (NPI 1881096311) is an individual surgical provider in Kettering, Ohio, licensed in Ohio (50004106) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1881096311
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRENNAN L KELLYCredential: PAC
Location Address3700 SOUTHERN BLVD STE 300Kettering, OH 45429-1226
Mailing Address3700 Southern Blvd Ste 300Kettering, OH 45429-1226 · (937) 643-9299 · Fax (937) 643-2343
Phone(937) 643-9299
Fax(937) 643-2343
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1881096311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50004106
3700 SOUTHERN BLVD STE 300, Kettering, OH 45429
Open in Google Maps ↗

Other Identifiers 1

Medicaid0110411OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brennan L Kelly Pac 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 ID3577785237
PECOS Enrollment IDI20141112002339
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.

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.
37 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

DR. AKIL P PATEL MD
Neurological Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
MARIE THERESE MUALLA ORAM PA-C
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
LASHAUNA HALL NP-C
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
MS. DANYELL MARGIORAS CNP
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
SARAH ELLSWORTH DUDLEY PA-C
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
MRS. ARIEL CHRISTINE HERDEMAN PA-C
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299
HAILEY KATE SPRY PA
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 395-8002
SUZANNE MARIE BROOKS RN, MS, CNS-BC
Clinical Nurse Specialist (Adult Health)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Montgomery County (937) 643-9299

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 Brennan Kelly's NPI number?

The NPI number for Brennan Kelly is 1881096311. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Brennan Kelly located?

Brennan Kelly practices at 3700 Southern Blvd Ste 300, Kettering, OH 45429. The listed phone number is (937) 643-9299.

What is Brennan Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brennan Kelly enrolled in Medicare?

Yes. Brennan 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.

What insurance does Brennan Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Brennan Kelly 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.

Is Brennan Kelly affiliated with any hospitals?

According to CMS data, Brennan Kelly is affiliated with Kettering Health Main Campus and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Brennan Kelly was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.