DR. KELLY S SKELLY (MD) – Family Medicine Physician, NPI 1194711770

DR. KELLY S SKELLY (MD) is a healthcare provider. based in Iowa city, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD-29668 (IA). The NPI Number for DR. KELLY S SKELLY (MD) is 1194711770

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY S SKELLY (MD)
NPI
1194711770
Phone
(319) 384-7000
Address
200 HAWKINS DR
Enumeration Date
20 September 2005
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3193847222
Graduation Year
1992 (34 years ago)
PAC ID
2860533239
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20100107000180
Address ID
IA522459509IO2751XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DR. KELLY S SKELLY (MD)

  • University of Iowa Stead Family Children’s Hospital, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52242, United States

    IOWA CITY, IA 522421009

    Phone: (319) 384-7000

    Fax: (319) 384-7822

    Type: Location

  • 3056 River Crossing Ct

    Riverside, IA 523274733

    Phone: (319) 467-8355

    Fax: (319) 467-8351

    Type: Location

  • 200 Hawkins Dr

    Iowa City, IA 522421009

    Phone: (319) 384-7222

    Fax: (319) 353-7549

    Type: Location

  • 920 E 2nd Ave Ste 201B

    Coralville, IA 522412225

    Phone: (319) 467-2000

    Fax: (319) 467-2814

    Type: Location

  • 3640 Middlebury Rd

    Iowa City, IA 522452712

    Phone: (319) 467-6789

    Fax: (319) 467-7400

    Type: Location

  • 2751 NORTHGATE DR

    IOWA CITY, IA 522459509

    Phone: (319) 384-7222

    Fax: (319) 356-3949

    Type: Location

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: 2010-01-07

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
I20100107000180IFamily PracticeIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes187114$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6868$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 7618884230View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. KELLY S SKELLY (MD)?
The federal identifier for DR. KELLY S SKELLY (MD) is NPI 1194711770.
Is DR. KELLY S SKELLY (MD) currently active in the NPI registry?
CMS-published data lists DR. KELLY S SKELLY (MD) as an active registrant.
What kind of provider is DR. KELLY S SKELLY (MD)?
The page reflects Family Medicine Physician for DR. KELLY S SKELLY (MD). Clinical services aligned with this taxonomy classification.
Where is DR. KELLY S SKELLY (MD)'s primary listing?
We display Iowa City, Iowa because that is what the record indicates for DR. KELLY S SKELLY (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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