KELLY ANN WOOD (M.D.) – Family Medicine Physician, NPI 1619193869
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for KELLY ANN WOOD (M.D.)
521 N BORDERS AVE STE C
MARISSA MEDICAL CLINIC
MARISSA, IL 622571195
Phone: (618) 295-1591
Type: Mailing
420 COLUMBIA CTR
COLUMBIA, IL 622362540
Phone: (618) 719-2011
Fax: (618) 417-6046
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $731.
Total Amount is formed as General ($731) + Research ($0) + Ownership ($0) = $731.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Lilly USA, LLC ($269).
Total Amount
$731
General + Research + Ownership
Payments
34
Total payment records
General Amount
$731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $269 |
| VIVUS LLC | $176 |
| ABBVIE INC. | $66 |
| Amgen Inc. | $62 |
| Bayer Healthcare Pharmaceuticals Inc. | $37 |
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: 2024-04-29
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 |
|---|---|---|---|---|
| I20090820000193 | I | Family Practice | IL | TBD |
| I20240429000308 | I | Family Practice | MO | 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 62257)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Physician Assistant | MO |
Reviews
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