BLANE JR. KELLY (MD) – Orthopaedic Surgery Physician, NPI 1174900914
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $887 |
| Zimmer Biomet Holdings, Inc. | $564 |
| Medical Device Business Services, Inc. | $66 |
| DePuy Synthes Sales Inc. | $33 |
| Nevro Corp. | $23 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210713003727 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 263 | 190 | $0 |
| 73562 | X-ray of knee, 3 views | 231 | 133 | $0 |
| 73502 | X-ray of hip, 2-3 views | 229 | 144 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 203 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 132 | $0 |
Insurance plans in this area (ZIP 33919)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | NV | |
| Nurse Practitioner | CT |
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