DR. DANIEL KELLEY MD
NPI 1912437187
Family Medicine - Sports Medicine in Chicago, IL

Q: What is Daniel Kelley's NPI number?

The NPI number for Daniel Kelley is 1912437187. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Daniel Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Kelley was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

680 N LAKE SHORE DR STE 924, CHICAGO, IL 60611(847) 866-7846 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2021, Aug 4, 2017, Jun 29, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Daniel Kelley Md NPPES

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

DR. DANIEL KELLEY MD (NPI 1912437187) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036152896) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Southern California Keck School Of Medicine (2017).

NPPES Registry Identity

NPI1912437187

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. DANIEL KELLEYCredential: MD

Location Address680 N LAKE SHORE DR STE 924Chicago, IL 60611-8701

Mailing Address680 N Lake Shore Dr Ste 924Chicago, IL 60611-8701 · (847) 866-7846

Phone(847) 866-7846

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2017

Enumeration DateJune 19, 2017

Last NPPES UpdateJune 28, 20214 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1912437187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036152896

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ML60770434 (WA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ML60770434 (WA)

680 N LAKE SHORE DR STE 924, Chicago, IL 60611

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Daniel Kelley 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 ID3173895745

PECOS Enrollment IDI20210609001365

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 10

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.

187 services141 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.

176 services140 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.

127 services127 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

86 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

42 services39 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.

40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

1 supplier15 claims15 services$110.27 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier13 claims13 services$215.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MARK K. BOWEN MD

Orthopaedic Surgery (Sports Medicine)