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DR. THOMAS CHARLES KELLY MD
NPI 1891997110
Otolaryngology in Normal, IL

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
207 LANDMARK DR, SUITE A, NORMAL, IL 61761(309) 268-3200 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Charles Kelly Md NPPES

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

DR. THOMAS CHARLES KELLY MD (NPI 1891997110) is an individual otolaryngology provider in Normal, Illinois, licensed in Michigan (4301084281) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of Southern Illinois University School Of Medicine (2004).

NPPES Registry Identity

NPI1891997110
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. THOMAS CHARLES KELLYCredential: MD
Location Address207 LANDMARK DR, SUITE ANormal, IL 61761-3195
Mailing Address701 Lee St, Suite 300Des Plaines, IL 60016-4539 · (847) 390-5900
Phone(309) 268-3200
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateNovember 20, 2012
✔ NPI 1891997110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · 4301084281
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
207 LANDMARK DR, Normal, IL 61761
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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. Thomas Charles Kelly 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 ID3274670989
PECOS Enrollment IDI20091029000472
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services127 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
93 services93 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.
46 services41 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
44 services36 patients
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433
This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 3

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

DR. PAIGE WYDOLA AUD
Audiologist
207 LANDMARK DR
NORMAL, IL 61761
McLean County (309) 268-3200
JAY K. CHAUHAN D.O.
Otolaryngology
207 LANDMARK DR
NORMAL, IL 61761
McLean County (309) 268-3200
MRS. ANN MARIE SMITH DOCTOR OF AUDIOLOGY
Audiologist
207 LANDMARK DR
NORMAL, IL 61761
McLean County (309) 268-3200

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1891997110. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Thomas Kelly located?

Thomas Kelly practices at 207 Landmark Dr Suite A, Normal, IL 61761. The listed phone number is (309) 268-3200.

What is Thomas Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Kelly enrolled in Medicare?

Yes. Thomas 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 Thomas Kelly affiliated with any hospitals?

According to CMS data, Thomas Kelly is affiliated with Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.