DR. THOMAS REYNOLDS KELLEY (MD) – Family Medicine Physician, NPI 1306833082

DR. THOMAS REYNOLDS KELLEY (MD) is a healthcare provider. based in Altamonte springs, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME91713 (FL). The NPI Number for DR. THOMAS REYNOLDS KELLEY (MD) is 1306833082

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS REYNOLDS KELLEY (MD)
NPI
1306833082
Phone
(407) 635-5516
Address
931 N SR 434 STE 1275
Enumeration Date
29 September 2005
Last Update Date
26 May 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
3218416600
Graduation Year
1991 (35 years ago)
PAC ID
2365407368
Group Practice PAC ID
7719026251
Professional Enrollment ID
I20041201000192
Address ID
FL328061133OR21XXXSTXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for DR. THOMAS REYNOLDS KELLEY (MD)

  • 931 N SR 434 STE 1275

    ALTAMONTE SPRINGS, FL 327147057

    Phone: (407) 635-5516

    Fax: (407) 636-7876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Exact Sciences Corporation ($81).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-12-01

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
I20041201000192IFamily PracticeFLTBD

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 minutes273180$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit182182$0
99213Established patient office or other outpatient visit, 20-29 minutes152106$0
36415Insertion of needle into vein for collection of blood sample5957$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 32714)

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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: 7719026251View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. THOMAS REYNOLDS KELLEY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. THOMAS REYNOLDS KELLEY (MD) with NPI 1306833082.
Does CMS list DR. THOMAS REYNOLDS KELLEY (MD) as active?
Yes — DR. THOMAS REYNOLDS KELLEY (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. THOMAS REYNOLDS KELLEY (MD)?
For research purposes, treat DR. THOMAS REYNOLDS KELLEY (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. THOMAS REYNOLDS KELLEY (MD) based?
DR. THOMAS REYNOLDS KELLEY (MD) is tied to Altamonte Springs, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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