TAYLOR KELLEY – Surgical Physician Assistant, NPI 1821580663
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for TAYLOR KELLEY
7, Diamond Drive, Enfield, Hartford County, Connecticut, 06082, United States
ENFIELD, CT 060825632
Phone: (860) 729-6195
Type: Mailing
Jolley Drive, Bloomfield, Hartford County, Connecticut, 06002, United States
BLOOMFIELD, CT 060024228
Phone: (860) 242-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Bioventus LLC ($32).
Total Amount
$115
General + Research + Ownership
Payments
7
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
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: 2019-04-03
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 |
|---|---|---|---|---|
| I20181227001407 | I | Physician Assistant | MA | TBD |
| I20190403000889 | I | Physician Assistant | 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.
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 206 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 162 | 127 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 95 | 72 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 76 | 54 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 06082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | NY | |
| Orthopedic Surgery | CT | |
| Physician Assistant | RI | |
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | CT | |
| Orthopedic Surgery | PA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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