KELLY R RIDGE PAC
NPI 1992789739
Physician Assistant - Surgical in Brockton, MA

Q: What is Kelly Ridge's NPI number?

The NPI number for Kelly Ridge is 1992789739. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Kelly Ridge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Ridge was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment

680 CENTRE ST, BROCKTON, MA 02302(508) 941-7000 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 10, 2025, Sep 14, 2016 (2 updates tracked since 2016).

On this page

About Kelly R Ridge Pac NPPES

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

KELLY R RIDGE PAC (NPI 1992789739) is an individual surgical provider in Brockton, Massachusetts, licensed in Massachusetts (1104) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992789739

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKELLY R RIDGECredential: PAC

Location Address680 CENTRE STBrockton, MA 02302-3308

Mailing Address3 Washington St, Ste 200North Easton, MA 02356-1010 · (508) 205-9630 · Fax (508) 796-2610

Phone(508) 941-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 5, 2005

Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1992789739 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 MA · 1104

680 CENTRE ST, Brockton, MA 02302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kelly R Ridge 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 ID7719058049

PECOS Enrollment IDI20080613000543

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 17

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

491 services305 patients

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.

318 services266 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

164 services112 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

118 services111 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.

96 services96 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

93 services87 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

68 services61 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

66 services57 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.

52 services52 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

50 services48 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

44 services43 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

38 services38 patients

X-ray for bone length assessment 77073

An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.

28 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services21 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.

20 services17 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.

18 services17 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

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.

LOUIS D. GOTTLIEB M.D.

Internal Medicine

680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302

Plymouth County (508) 941-7065

MS. JAMIE CHYAT PA-C

Physician Assistant

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7000

BRANDEN M TURNER LMHC

Counselor (Mental Health)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

CARLY ALEXANDRA CARLIN MD

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

DR. ANGEL TAYLOR MD

Student in an Organized Health Care Education/Training Program

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 974-7000

DR. DESIREE A CARLSON MD

Pathology (Anatomic Pathology & Clinical Pathology)

680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302

Plymouth County (508) 941-7414

DEMIN MA M.D.

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

JENNIFER L. BUNKER

Social Worker

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7268

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 Ridge's NPI number?

The NPI number for Kelly Ridge is 1992789739. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Kelly Ridge located?

Kelly Ridge practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7000.

What is Kelly Ridge's specialty?

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

Is Kelly Ridge enrolled in Medicare?

Yes. Kelly Ridge 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 Ridge accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Ridge 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 Ridge affiliated with any hospitals?

According to CMS data, Kelly Ridge is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Ridge was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.