ANDREW KELSEY (MD) – Dermatology Physician, NPI 1649664731

Dermatology Physician

ANDREW KELSEY (MD) is a healthcare provider. based in Madison, Connecticut. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 62654 (CT). The NPI Number for ANDREW KELSEY (MD) is 1649664731

Main info

Male

11 Years Of Experience

Accepts Medicare Assignment

Name

ANDREW KELSEY (MD)

NPI

1649664731

Phone

(860) 669-6156

Address

1343 Boston Post Rd Apt 101

Enumeration Date

26 March 2015

Last Update Date

9 February 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8604499090

Graduation Year

2015 (11 years ago)

PAC ID

0648566547

Group Practice PAC ID

8527297050

Professional Enrollment ID

I20190614002089

Address ID

CT063406702GR481XXHWYX401

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience56

Completeness85

Years active:11State licenses:1Digital endpointsOther names

271 DERMATOLOGY in CT

Provider Addresses for ANDREW KELSEY (MD)

1343 Boston Post Rd Apt 101
Madison, CT 064433481
Phone: (860) 669-6156
Fax: (860) 664-0285
Type: Location
113 Elm St Ste 304
Enfield, CT 060823739
Phone: (860) 741-2225
Fax: (860) 741-2229
Type: Location
263 FARMINGTON AVE
FARMINGTON, CT 060308082
Phone: (860) 679-4600
Fax: (860) 679-4759
Type: Mailing
481 Gold Star Hwy Ste 201
Groton, CT 063406702
Phone: (860) 445-8020
Fax: (860) 445-1665
Type: Location
357 Hartford Tpke
Vernon, CT 060664838
Phone: (860) 871-9441
Fax: (860) 871-0227
Type: Location
4700 EXCHANGE CT STE 110
BOCA RATON, FL 334314450
Phone: (561) 948-0291
Fax: (561) 859-0429
Type: Mailing
1078 W MAIN ST
WATERBURY, CT 067082651
Phone: (203) 757-1585
Fax: (203) 757-0300
Type: Location
3300 S FISKE BLVD
ROCKLEDGE, FL 329554306
Phone: (321) 361-5606
Type: Mailing
7125 MURRELL RD STE A
MELBOURNE, FL 329407999
Phone: (321) 361-5606
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($125).

Total Amount

$360

General + Research + Ownership

Payments

Total payment records

General Amount

$360

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Janssen Biotech, Inc.	$125
ABBVIE INC.	$83
GENZYME CORPORATION	$51
Dermavant Sciences, Inc.	$25
Ortho Dermatologics, a division of Bausch Health US, LLC	$22

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: 2019-06-14

PECOS data refreshed: 2026-06-15

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

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
I20190614002089	I	Dermatology	CT	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	593	504	$0
17312	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	423	332	$0
13132	Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	222	205	$0
13121	Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm	142	126	$0
17313	Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	87	79	$0

View full utilization report →

Insurance plans in this area (ZIP 06443)

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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: 8527297050View full group profile