KRISTEN MARIE KELLY (MD) – Procedural Dermatology Physician, NPI 1265448609
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
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Provider Addresses for KRISTEN MARIE KELLY (MD)
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
LOS ANGELES, CA 900513230
Phone: (714) 456-8068
Fax: (714) 456-3765
Type: Mailing
UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States
ORANGE, CA 928683201
Phone: (714) 456-8068
Fax: (714) 456-3765
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $481.
Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: NOBELPHARMA AMERICA, LLC ($400).
Total Amount
$481
General + Research + Ownership
Payments
2
Total payment records
General Amount
$481
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NOBELPHARMA AMERICA, LLC | $400 |
| PFIZER INC. | $81 |
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: 2010-12-16
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 |
|---|---|---|---|---|
| I20101216000936 | I | Dermatology | CA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 855 | 135 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 322 | 219 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 229 | 156 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 222 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 133 | $0 |
Insurance plans in this area (ZIP 90051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | MD | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | CA |
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