DR. KELLY E LAFAVE (MD) – Radiation Oncology Physician, NPI 1376745612

DR. KELLY E LAFAVE (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME106904 (FL). The NPI Number for DR. KELLY E LAFAVE (MD) is 1376745612

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY E LAFAVE (MD)
NPI
1376745612
Phone
(386) 425-4210
Address
303 N Clyde Morris Blvd
Enumeration Date
31 May 2007
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
4075390722
Graduation Year
2001 (25 years ago)
PAC ID
0840324240
Group Practice PAC ID
0547556185
Professional Enrollment ID
I20100820000805
Address ID
FL327923800WI483XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

Provider Addresses for DR. KELLY E LAFAVE (MD)

  • 303 N Clyde Morris Blvd

    Daytona Beach, FL 321142709

    Phone: (386) 425-4210

    Fax: (386) 425-7725

    Type: Location

  • 483 N SEMORAN BLVD STE 107

    WINTER PARK, FL 327923800

    Phone: (407) 539-0722

    Fax: (407) 539-0723

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($109).

Total Amount

$496

General + Research + Ownership

Payments

22

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2010-08-20

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
I20100820000805IRadiation OncologyFLTBD

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
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie4,00015$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session73482$0
77014Ct guidance for insertion of radiation therapy fields63873$0
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev49068$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy36636$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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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: 0547556185View full group profile
NameSpecialtyState
Radiation OncologyFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KELLY E LAFAVE (MD)'s NPI?
Yes. DR. KELLY E LAFAVE (MD) is listed with NPI 1376745612 in the public NPI dataset.
Is DR. KELLY E LAFAVE (MD) still practicing?
DR. KELLY E LAFAVE (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. KELLY E LAFAVE (MD) hold?
Scheduling teams often label DR. KELLY E LAFAVE (MD) under Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KELLY E LAFAVE (MD) list a practice location?
Patients near Daytona Beach, Florida may find DR. KELLY E LAFAVE (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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