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DR. KELLY MARIE MCLEAN M.D.
NPI 1942237318
Surgery - Surgical Oncology in Cincinnati, OH

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2123 AUBURN AVE, CINCINNATI, OH 45219(513) 564-5000(513) 464-4925 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2020, Sep 14, 2016 (2 updates tracked since 2016).

About Dr. Kelly Marie Mclean M.d. NPPES

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

DR. KELLY MARIE MCLEAN M.D. (NPI 1942237318) is an individual surgical oncology provider in Cincinnati, Ohio, licensed in Ohio (35.086702) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Michigan Medical School (2001).

NPPES Registry Identity

NPI1942237318
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. KELLY MARIE MCLEANCredential: M.D.
Location Address2123 AUBURN AVECincinnati, OH 45219-2906
Mailing Address237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: CredentialingCincinnati, OH 45219-2610 · (513) 263-8571 · Fax (513) 366-4480
Phone(513) 564-5000
Fax(513) 464-4925
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2001
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1942237318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in OH · 35.086702
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.086702 (OH)
2123 AUBURN AVE, Cincinnati, OH 45219
Open in Google Maps ↗

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

Dr. Kelly Marie Mclean M.d. 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 ID4587793609
PECOS Enrollment IDI20100528000375
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.
241 services227 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.
89 services81 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.
33 services33 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
25 services21 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
24 services24 patients
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.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers15 claims61 services$35.40 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 20

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

DR. KIRANMAYEE LANKA M.D., M.P.H
Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NOEMI CLEOFAS RICO-CEPPI MD
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
EUGENE CHUNG M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Hamilton County (513) 206-1180
DR. REID ARTHUR HARTMANN M.D.
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 381-5227
JILL GAST APRN.CNP
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 241-4223
YOLANDA DANIELA FARHEY M.D.
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Hamilton County (513) 585-1970
BRIAN REVIS MD
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219
Hamilton County (513) 241-5630

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 Mclean's NPI number?

The NPI number for Kelly Mclean is 1942237318. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Kelly Mclean located?

Kelly Mclean practices at 2123 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 564-5000.

What is Kelly Mclean's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kelly Mclean enrolled in Medicare?

Yes. Kelly Mclean 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 Kelly Mclean accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kelly Mclean 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 Kelly Mclean affiliated with any hospitals?

According to CMS data, Kelly Mclean is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mclean was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.