BLANE JR. KELLY (MD) – Orthopaedic Surgery Physician, NPI 1174900914

BLANE JR. KELLY (MD) is a healthcare provider. based in Fort myers, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME149155 (FL). The NPI Number for BLANE JR. KELLY (MD) is 1174900914

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BLANE JR. KELLY (MD)
NPI
1174900914
Phone
(239) 482-5399
Address
8350 RIVERWALK PARK BLVD STE 1
Enumeration Date
30 April 2015
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2393347000
Graduation Year
2015 (11 years ago)
PAC ID
6608180534
Group Practice PAC ID
2668442799
Professional Enrollment ID
I20210713003727
Address ID
FL339124707FO14601LOOP400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for BLANE JR. KELLY (MD)

  • 8350 RIVERWALK PARK BLVD STE 1

    FORT MYERS, FL 339198759

    Phone: (239) 482-5399

    Type: Mailing

  • 7852 SW 84TH WAY

    GAINESVILLE, FL 326085798

    Phone: (239) 849-2528

    Type: Mailing

  • 3450 HULL RD # 3341

    GAINESVILLE, FL 326074144

    Phone: (352) 273-7365

    Type: Location

  • 14601 HOPE CENTER LOOP

    FORT MYERS, FL 339124707

    Phone: (239) 461-6321

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,600.

Total Amount is formed as General ($1,600) + Research ($0) + Ownership ($0) = $1,600.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Stryker Corporation ($887).

Total Amount

$1,600

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2021-07-13

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
I20210713003727IOrthopedic SurgeryFLTBD

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 minutes263190$0
73562X-ray of knee, 3 views231133$0
73502X-ray of hip, 2-3 views229144$0
20610Aspiration and/or injection of fluid from large joint203116$0
99213Established patient office or other outpatient visit, 20-29 minutes157132$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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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: 2668442799View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
-FL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantNV
Nurse PractitionerCT

Reviews

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Frequently asked questions

What is BLANE JR. KELLY (MD)'s NPI number?
BLANE JR. KELLY (MD)'s NPI is 1174900914 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to BLANE JR. KELLY (MD)?
You should see BLANE JR. KELLY (MD) as active in CMS-hosted NPPES data.
How would a patient describe BLANE JR. KELLY (MD)'s focus?
For BLANE JR. KELLY (MD), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is BLANE JR. KELLY (MD) associated with Fort Myers?
Public fields place BLANE JR. KELLY (MD) around Fort Myers, Florida. Always confirm the exact site before visiting.
Does BLANE JR. KELLY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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