MRS. KELLY M WILLIAMS (M.D.) – Dermatology Physician, NPI 1679718415
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for MRS. KELLY M WILLIAMS (M.D.)
1140 Edwards Village Blvd S-B200
Edwards, CO 816322736
Phone: (970) 926-9226
Fax: (970) 926-8755
Type: Location
Eagle Healthcare Center, 377, Sylvan Lake Road, Eagle, Eagle County, Colorado, 81631, United States
STE 210
EAGLE, CO 816316779
Phone: (970) 926-9226
Fax: (970) 926-8755
Type: Mailing
1140 EDWARDS VILLAGE BLVD S-B200
EDWARDS, CO 816322736
Phone: (970) 926-9226
Fax: (970) 926-8755
Type: Location
14305 SOUTHCROSS DR W STE 110
BURNSVILLE, MN 553067011
Phone: (651) 340-1064
Fax: (651) 330-0429
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Inari Medical, Inc. ($61).
Total Amount
$103
General + Research + Ownership
Payments
4
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $61 |
| Regeneron Healthcare Solutions, Inc. | $28 |
| LEO Pharma Inc. | $14 |
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20131010001239 | I | Dermatology | CO | TBD |
| I20250827003205 | I | Dermatology | MN | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 588 | 312 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 440 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 136 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 123 | 99 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 117 | 89 | $0 |
Insurance plans in this area (ZIP 81632)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | CO | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 43 | 37 |
| DERMATOLOGY | CO | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 27 | 26 |
| DERMATOLOGY | CO | 88342 | Tissue or cell analysis by immunologic technique | 125 | 110 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | PA | |
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | IL |
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