DR. GARY C. KELLEY (D.C.) – Chiropractor, NPI 1174522635

DR. GARY C. KELLEY (D.C.) is a healthcare provider. based in Orangevale, California. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC 15262 (CA). The NPI Number for DR. GARY C. KELLEY (D.C.) is 1174522635

Main info

Male
Sole Proprietor
43 Years Of Experience
Name
DR. GARY C. KELLEY (D.C.)
NPI
1174522635
Phone
(916) 988-8645
Address
8720 TAAJANAR CT
Enumeration Date
18 July 2005
Last Update Date
15 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167865828
Graduation Year
1983 (43 years ago)
PAC ID
4385557305
Group Practice PAC ID
4486567401
Professional Enrollment ID
I20031106000466
Address ID
CA956612927RO151XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

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Provider Addresses for DR. GARY C. KELLEY (D.C.)

  • 8720 TAAJANAR CT

    ORANGEVALE, CA 956622625

    Phone: (916) 988-8645

    Fax: (916) 987-7426

    Type: Mailing

  • 151, North Sunrise Avenue, Roseville, Placer County, California, 95661, United States

    STE 701

    ROSEVILLE, CA 956612927

    Phone: (916) 786-5828

    Fax: (916) 786-5055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-11-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031106000466IChiropracticCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions28443$0
View full utilization report →

Insurance plans in this area (ZIP 95662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486567401View full group profile
NameSpecialtyState
-CA
C H I R O P R A C T I CCA

Reviews

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Frequently asked questions

Is DR. GARY C. KELLEY (D.C.) listed with a National Provider Identifier?
Yes — DR. GARY C. KELLEY (D.C.) has NPI 1174522635 on file in the registry.
Would DR. GARY C. KELLEY (D.C.) appear as active to a payer?
You can treat DR. GARY C. KELLEY (D.C.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. GARY C. KELLEY (D.C.)?
DR. GARY C. KELLEY (D.C.) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GARY C. KELLEY (D.C.)?
Directory geography for DR. GARY C. KELLEY (D.C.) centers on Orangevale, California.
When was this NPI issued?
Enumeration for DR. GARY C. KELLEY (D.C.) is noted as July 18, 2005 where the registry provides it.

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