DR. ROBERT T KELLEY (D.O.) – Family Medicine Physician, NPI 1093126427

DR. ROBERT T KELLEY (D.O.) is a healthcare provider. based in Greeley, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. TL0005132 (CO). The NPI Number for DR. ROBERT T KELLEY (D.O.) is 1093126427

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT T KELLEY (D.O.)
NPI
1093126427
Phone
(970) 346-2800
Address
1600 23rd Ave
Enumeration Date
20 May 2014
Last Update Date
29 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704958450
Graduation Year
2014 (12 years ago)
PAC ID
9335369495
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20180319000039
Address ID
CO805288614FO4674XDRXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for DR. ROBERT T KELLEY (D.O.)

  • 1600 23rd Ave

    Greeley, CO 806346070

    Phone: (970) 346-2800

    Fax: (970) 346-2774

    Type: Location

  • 1455 Main St Ste 100

    Windsor, CO 805505559

    Phone: (970) 686-3950

    Fax: (970) 686-3960

    Type: Location

  • 4650 SIGNAL TREE DR STE 1200

    TIMNATH, CO 805474908

    Phone: (970) 237-7415

    Fax: (970) 237-7420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-19

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
I20180319000039IFamily PracticeCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes340164$0
99213Established patient office or other outpatient visit, 20-29 minutes10376$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
90480Admn sarscov2 vacc 1 dose5959$0
91320Sarscv2 vac 30mcg trs-suc im5959$0
View full utilization report →

Insurance plans in this area (ZIP 80634)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. ROBERT T KELLEY (D.O.)?
Save NPI 1093126427 if you need a stable reference for DR. ROBERT T KELLEY (D.O.).
Is DR. ROBERT T KELLEY (D.O.) currently active in the NPI registry?
CMS-published data lists DR. ROBERT T KELLEY (D.O.) as an active registrant.
Does DR. ROBERT T KELLEY (D.O.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. ROBERT T KELLEY (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. ROBERT T KELLEY (D.O.) practice in Colorado?
You will see Greeley, Colorado on file for DR. ROBERT T KELLEY (D.O.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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