MATTHEW R KELLEHER (MD) – Dermatology Physician, NPI 1225022882
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for MATTHEW R KELLEHER (MD)
1600 W US Route 6
Morris, IL 604508854
Phone: (815) 941-9500
Fax: (815) 942-4998
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9016
Fax: (920) 684-1439
Type: Mailing
2051, Plainfield Road, Crest Hill, Will County, Illinois, 60403, United States
CREST HILL, IL 604031865
Phone: (815) 741-4343
Fax: (815) 741-8660
Type: Location
507 W Kendall Dr Ste 2
Yorkville, IL 605602041
Phone: (630) 357-7536
Fax: (630) 904-0413
Type: Location
1520 Bond St
Naperville, IL 605632358
Phone: (630) 357-7536
Fax: (630) 904-0413
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $669.
Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($361).
Total Amount
$669
General + Research + Ownership
Payments
35
Total payment records
General Amount
$669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-11-10
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 |
|---|---|---|---|---|
| I20101110000529 | I | Dermatology | IL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 661 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 477 | 402 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 245 | 211 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 169 | 155 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 127 | 115 | $0 |
Insurance plans in this area (ZIP 60450)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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