DR. RAY DON KELLEY (MD) – Family Medicine Physician, NPI 1780654137
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for DR. RAY DON KELLEY (MD)
3066 E MERIDIAN PARK LOOP
WASILLA, AK 996547299
Phone: (907) 357-9590
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,147.
Total Amount is formed as General ($2,147) + Research ($0) + Ownership ($0) = $2,147.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($477).
Total Amount
$2,147
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $477 |
| Astellas Pharma US Inc | $207 |
| AstraZeneca Pharmaceuticals LP | $194 |
| Amgen Inc. | $146 |
| Lilly USA, LLC | $104 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101213000253 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 522 | 242 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 322 | 219 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 214 | 176 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 168 | 143 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 155 | 141 | $0 |
Insurance plans in this area (ZIP 99654)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AK | 83036 | Hemoglobin A1C level | 26 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Certified Nurse Midwife (Cnm) | AK | |
| - | CO | |
| General Surgery | AK | |
| - | AL | |
| Physician Assistant | AK | |
| Physical Medicine And Rehabilitation, Sports Medicine | AK | |
| General Surgery | AK | |
| - | AK | |
| Physician Assistant | WA |
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