KELLY C PHELPS (MD) – Family Medicine Physician, NPI 1831270073

KELLY C PHELPS (MD) is a healthcare provider. based in Salmon, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M-5808 (ID). The NPI Number for KELLY C PHELPS (MD) is 1831270073

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
KELLY C PHELPS (MD)
NPI
1831270073
Phone
(208) 756-5600
Address
203 S DAISY ST
Enumeration Date
17 October 2006
Last Update Date
4 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
5294636783
Group Practice PAC ID
9436131265
Professional Enrollment ID
I20181206003194
Address ID
ID834670000SAPOXXXBOXX205
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

270 EMERGENCY MEDICINE in ID

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Provider Addresses for KELLY C PHELPS (MD)

  • Steele Memorial Medical Center, 203, South Daisy Street, Salmon, Lemhi County, Idaho, 83467, United States

    SALMON, ID 834670000

    Phone: (208) 756-5600

    Fax: (208) 756-4169

    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)

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: 2011-05-26

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
I20110526000211IEmergency MedicineIDTBD

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
81002Urinalysis, manual test1512$0
View full utilization report →

Insurance plans in this area (ZIP 83467)

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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: 9436131265View full group profile
NameSpecialtyState
Family PracticeID
Physician AssistantID
Family Practice, Emergency MedicineID
Nurse PractitionerID
Family PracticeOK
Nurse PractitionerID
Orthopedic Surgery, Sports MedicineID
Obstetrics/Gynecology, Family PracticeID
Physician AssistantID
Physician AssistantMT

Reviews

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Frequently asked questions

Can I cross-check KELLY C PHELPS (MD) using NPI 1831270073?
NPI 1831270073 belongs to KELLY C PHELPS (MD); compare other details if you need extra assurance.
Active or inactive — what applies to KELLY C PHELPS (MD)?
You should see KELLY C PHELPS (MD) as active in CMS-hosted NPPES data.
What area of care is associated with KELLY C PHELPS (MD)?
KELLY C PHELPS (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Idaho is KELLY C PHELPS (MD) registered?
Use Salmon, Idaho as the headline location for KELLY C PHELPS (MD) here.
Does KELLY C PHELPS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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