KELLY DUGGIN (MD) – Family Medicine Physician, NPI 1043763865
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,659 FAMILY PRACTICE in IA
Provider Addresses for KELLY DUGGIN (MD)
1010 4th St SW
Suite 340
Mason City, IA 504012857
Phone: (641) 428-7766
Fax: (641) 428-7788
Type: Location
8340 LAKEWOOD RANCH BLVD
SUITE 210
BRADENTON, FL 342025185
Phone: (941) 782-2800
Fax: (941) 782-2513
Type: Location
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
ATTN: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (941) 782-2800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $554.
Total Amount is formed as General ($554) + Research ($0) + Ownership ($0) = $554.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novo Nordisk Inc ($112).
Total Amount
$554
General + Research + Ownership
Payments
26
Total payment records
General Amount
$554
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $112 |
| Lilly USA, LLC | $93 |
| PFIZER INC. | $65 |
| IDORSIA PHARMACEUTICALS US INC | $40 |
| Exact Sciences Corporation | $34 |
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: 2019-07-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20190717000117 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 354 | 222 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 225 | 225 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 116 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 34 | 29 | $0 |
| 81003 | Automated urinalysis test | 26 | 19 | $0 |
Insurance plans in this area (ZIP 50401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Family Practice | IL | |
| - | FL | |
| Family Practice | FL | |
| - | PA | |
| - | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | OH | |
| - | OH |
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.