KELLIS BULLEIGH (M.D.) – Orthopaedic Surgery Physician, NPI 1063679066

KELLIS BULLEIGH (M.D.) is a healthcare provider. based in Wichita, Kansas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 6948 (KS). The NPI Number for KELLIS BULLEIGH (M.D.) is 1063679066

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLIS BULLEIGH (M.D.)
NPI
1063679066
Phone
(316) 685-2221
Address
5500 E KELLOGG DR
Enumeration Date
19 May 2008
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3162198299
Graduation Year
2008 (18 years ago)
PAC ID
6002062437
Group Practice PAC ID
3678550027
Professional Enrollment ID
I20210226000973
Address ID
KS672264106WI10100CIRX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

324 ORTHOPEDIC SURGERY in KS

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Provider Addresses for KELLIS BULLEIGH (M.D.)

  • 5500, East Kellogg Drive, Wichita, Sedgwick County, Kansas, 67218, United States

    WICHITA, KS 672181607

    Phone: (316) 685-2221

    Type: Mailing

  • 10100 E SHANNON WOODS CIR STE 100

    WICHITA, KS 672264106

    Phone: (316) 219-8299

    Fax: (855) 587-4501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $670.

Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($175).

Total Amount

$670

General + Research + Ownership

Payments

23

Total payment records

General Amount

$670

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

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-26

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
I20210226000973IOrthopedic SurgeryKSTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32465$0
99213Established patient office or other outpatient visit, 20-29 minutes298202$0
73564X-ray of knee, 4 or more views124119$0
20610Aspiration and/or injection of fluid from large joint12393$0
99203New patient office or other outpatient visit, 30-44 minutes8181$0
View full utilization report →

Insurance plans in this area (ZIP 67218)

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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: 3678550027View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Physician AssistantKS
Nurse PractitionerKS
Orthopedic Surgery, Sports MedicineKS
-KS
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does KELLIS BULLEIGH (M.D.) have a public NPI I can cite?
Public records show KELLIS BULLEIGH (M.D.) under NPI 1063679066.
Should I treat KELLIS BULLEIGH (M.D.) as an active provider?
Patients and plans typically see KELLIS BULLEIGH (M.D.) as active in the national extract.
What does the directory say KELLIS BULLEIGH (M.D.) does?
Insurance directories may phrase it differently, but here KELLIS BULLEIGH (M.D.) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLIS BULLEIGH (M.D.)?
KELLIS BULLEIGH (M.D.) is associated with Wichita, Kansas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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