JEFFERY SCOTT KELLEY (MD) – Internal Medicine Physician, NPI 1659334126
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for JEFFERY SCOTT KELLEY (MD)
Jay, Delaware County, Oklahoma, United States
14088 ALABAMA STREET
JAY, FL 325651036
Phone: (850) 675-4546
Fax: (850) 675-4548
Type: Mailing
14088, South Alabama Street, Jay, Santa Rosa County, Florida, 32565, United States
JAY, FL 325651036
Phone: (850) 675-4546
Fax: (850) 675-4548
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $972.
Total Amount is formed as General ($972) + Research ($0) + Ownership ($0) = $972.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($301).
Total Amount
$972
General + Research + Ownership
Payments
57
Total payment records
General Amount
$972
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $301 |
| Dexcom, Inc. | $189 |
| GlaxoSmithKline, LLC. | $176 |
| ABBVIE INC. | $78 |
| PFIZER INC. | $57 |
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: 2005-11-03
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 |
|---|---|---|---|---|
| I20051103000580 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32565)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | FL |
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