DR. TIMOTHY F KELLY (M.D.) – Dermatology Physician, NPI 1184606816
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for DR. TIMOTHY F KELLY (M.D.)
1840, Mease Drive, Safety Harbor, Palm Harbor, Pinellas County, Florida, 34695, United States
SUITE 406
SAFETY HARBOR, FL 346956602
Phone: (727) 712-8222
Fax: (727) 712-8229
Type: Mailing
4919 MEMORIAL HWY STE 150
TAMPA, FL 336347516
Phone: (813) 333-1512
Fax: (813) 333-1561
Type: Mailing
4197 WOODLANDS PKWY
PALM HARBOR, FL 346853493
Phone: (813) 333-1512
Fax: (813) 333-1561
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($110).
Total Amount
$161
General + Research + Ownership
Payments
6
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $110 |
| Amgen Inc. | $27 |
| Incyte Corporation | $24 |
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: 2010-12-09
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 |
|---|---|---|---|---|
| I20101209000868 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,810 | 340 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,170 | 779 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 559 | 435 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 464 | 378 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 268 | 227 | $0 |
Insurance plans in this area (ZIP 34695)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL |
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