RUSSELL KELLEY (MD) – Dermatology Physician, NPI 1881665727

RUSSELL KELLEY (MD) is a healthcare provider. based in Hutchinson, Kansas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 04-25022 (KS). The NPI Number for RUSSELL KELLEY (MD) is 1881665727

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL KELLEY (MD)
NPI
1881665727
Phone
(620) 669-2500
Address
2101 N WALDRON ST
Enumeration Date
30 January 2006
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
6206692500
Graduation Year
1990 (36 years ago)
PAC ID
0446290639
Group Practice PAC ID
5597658492
Professional Enrollment ID
I20050506000388
Address ID
KS675021131HU2107XSTXX400

Contacts

Secure Messaging
russellkelley@hcpa.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

99 DERMATOLOGY in KS

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Provider Addresses for RUSSELL KELLEY (MD)

  • North Waldron Street, Hutchinson, Reno County, Kansas, 67504, United States

    HUTCHINSON, KS 675021197

    Phone: (620) 669-2500

    Fax: (620) 694-2173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 297 Open Payments records for all available years, with a total value of $5,599.

Total Amount is formed as General ($5,599) + Research ($0) + Ownership ($0) = $5,599.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,166).

Total Amount

$5,599

General + Research + Ownership

Payments

297

Total payment records

General Amount

$5,599

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-05-06

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
I20050506000388IDermatologyKSTBD

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
17003Destruction of precancer skin growth, 2-14 growths4,1771,085$0
99213Established patient office or other outpatient visit, 20-29 minutes4,0062,594$0
17000Destruction of precancer skin growth, 1 growth2,2841,562$0
88305Pathology examination of tissue using a microscope, intermediate complexity580406$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg535109$0
View full utilization report →

Insurance plans in this area (ZIP 67502)

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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: 5597658492View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
R H E U M A T O L O G YKS
H E M A T O L O G Y/ O N C O L O G YKS
Physician AssistantKS
-KS
Gastroenterology, Internal MedicineKS
D E R M A T O L O G YKS
Physician AssistantKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Is RUSSELL KELLEY (MD) listed with a National Provider Identifier?
Yes — RUSSELL KELLEY (MD) has NPI 1881665727 on file in the registry.
Is RUSSELL KELLEY (MD) still an active registrant?
RUSSELL KELLEY (MD) carries an active NPI according to the public dataset.
What expertise is attributed to RUSSELL KELLEY (MD)?
RUSSELL KELLEY (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is RUSSELL KELLEY (MD) associated with Hutchinson?
Public fields place RUSSELL KELLEY (MD) around Hutchinson, Kansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for RUSSELL KELLEY (MD) is noted as January 30, 2006 where the registry provides it.

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