JODY L KELLY (M.D.) – Obstetrics & Gynecology Physician, NPI 1932107208
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
Loading map...
Provider Addresses for JODY L KELLY (M.D.)
2901, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61603, United States
PEORIA, IL 61603
Phone: (309) 688-7010
Fax: (309) 688-7044
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $426.
Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($167).
Total Amount
$426
General + Research + Ownership
Payments
24
Total payment records
General Amount
$426
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 |
|---|---|
| Astellas Pharma US Inc | $167 |
| Biogen, Inc. | $75 |
| PFIZER INC. | $40 |
| Exeltis, USA Inc. | $35 |
| E.R. Squibb & Sons, L.L.C. | $25 |
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: 2004-07-23
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 |
|---|---|---|---|---|
| I20040723001185 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 60 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 21 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 22 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 61603)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 36 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Certified Nurse Midwife (Cnm) | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.