DR. MARK ALVIN KELLERMAN (M.D.) – Urology Physician, NPI 1891780995
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
132 UROLOGY in IA
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Provider Addresses for DR. MARK ALVIN KELLERMAN (M.D.)
Des Moines Street, Capitol East, Des Moines, Polk County, Iowa, 50316, United States
DES MOINES, IA 503095507
Phone: (515) 643-0400
Fax: (515) 643-0401
Type: Location
Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States
DES MOINES, IA 503051475
Phone: (515) 643-0400
Fax: (515) 643-0401
Type: Mailing
12129 UNIVERSITY AVE STE 100
CLIVE, IA 503258298
Phone: (515) 400-3550
Fax: (515) 400-3551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $6,887.
Total Amount is formed as General ($6,887) + Research ($0) + Ownership ($0) = $6,887.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: CONMED Corporation ($2,570).
Total Amount
$6,887
General + Research + Ownership
Payments
97
Total payment records
General Amount
$6,887
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CONMED Corporation | $2,570 |
| Intuitive Surgical, Inc. | $1,096 |
| Bayer Healthcare Pharmaceuticals Inc. | $903 |
| Boston Scientific Corporation | $460 |
| Sumitomo Pharma America, Inc. | $364 |
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: 2007-07-31
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 |
|---|---|---|---|---|
| I20070731000134 | I | Urology | IA | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,040 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 414 | 315 | $0 |
| 81003 | Automated urinalysis test | 292 | 215 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 208 | 168 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 188 | 50 | $0 |
Insurance plans in this area (ZIP 50309)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA |
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