MR. KENNETH FARREL KELLY – Internal Medicine Physician, NPI 1740255942
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for MR. KENNETH FARREL KELLY
410 S 11th St
Lake Wales, FL 338534203
Phone: (863) 676-1433
Fax: (941) 676-9323
Type: Location
2100 N Dr Martin Luther King Jr Blvd
Clovis, NM 881019412
Phone: (575) 769-2141
Fax: (575) 769-7337
Type: Location
301 E Miel De Luna Ave
Tucumcari, NM 884013810
Phone: (575) 461-7074
Fax: (505) 461-1822
Type: Location
Scenic Drive, Alamogordo, Otero County, New Mexico, 88310-4860, United States
ALAMOGORDO, NM 883108700
Phone: (575) 439-6100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100603000602 | I | Internal Medicine | NM | TBD |
| I20200403001019 | I | Emergency 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 150 | 147 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 124 | 116 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 104 | 20 | $0 |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 86 | 19 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 31 | 15 | $0 |
Insurance plans in this area (ZIP 33853)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| - | AZ | |
| Family Practice | IL | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | CO | |
| - | MN | |
| Emergency Medicine | OH | |
| Nurse Practitioner | NY | |
| Emergency Medicine | NV | |
| Emergency Medicine | NM | |
| - | AZ |
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