DR. DOUGLAS A KELLY (MD) – Radiation Oncology Physician, NPI 1497716781
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
Provider Addresses for DR. DOUGLAS A KELLY (MD)
154 APPLE VALLEY LN
EUREKA, CA 955039546
Phone: (918) 269-6936
Type: Mailing
2700 DOLBEER ST
EUREKA, CA 955014736
Phone: (707) 269-4229
Fax: (707) 269-3849
Type: Location
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802911057
Phone: (800) 953-0104
Fax: (303) 765-6640
Type: Mailing
Mercado Street, Durango, La Plata County, Colorado, United States of America
DURANGO, CO 813017306
Phone: (970) 385-4746
Fax: (970) 259-5787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Janssen Biotech, Inc. ($146).
Total Amount
$576
General + Research + Ownership
Payments
9
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20131118001424 | I | Radiation Oncology | GA | TBD |
| I20180219001996 | I | Radiation Oncology | AZ | TBD |
| I20240418003555 | I | Radiation Oncology | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 461 | 51 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 101 | 38 | $0 |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 87 | 18 | $0 |
| 77300 | Calculation of radiation therapy dose | 65 | 15 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 37 | 16 | $0 |
Insurance plans in this area (ZIP 95503)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology, Internal Medicine | CA | |
| Radiation Oncology | CA |
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