DR. KEITH EDWARD KELLY (M.D.) – Pulmonary Disease Physician, NPI 1396856746

DR. KEITH EDWARD KELLY (M.D.) is a healthcare provider. based in Paducah, Kentucky. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. 39808 (KY). The NPI Number for DR. KEITH EDWARD KELLY (M.D.) is 1396856746

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH EDWARD KELLY (M.D.)
NPI
1396856746
Phone
(270) 442-3647
Address
1920 BROADWAY ST
Enumeration Date
31 August 2006
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2704154800
Graduation Year
1992 (34 years ago)
PAC ID
9830150481
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20051201000186
Address ID
KY420033829PA2603XAVEX302

Contacts

Secure Messaging
kkelly7510@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for DR. KEITH EDWARD KELLY (M.D.)

  • Broadway Street, Paducah, McCracken County, Kentucky, 42001, United States

    PADUCAH, KY 420017106

    Phone: (270) 442-3647

    Fax: (270) 442-3777

    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 294 Open Payments records for all available years, with a total value of $17,523.

Total Amount is formed as General ($17,523) + Research ($0) + Ownership ($0) = $17,523.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($11,124).

Total Amount

$17,523

General + Research + Ownership

Payments

294

Total payment records

General Amount

$17,523

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

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: 2005-12-01

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
I20051201000186IPulmonary DiseaseKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes483156$0
99214Established patient office or other outpatient visit, 30-39 minutes382257$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes32286$0
99213Established patient office or other outpatient visit, 20-29 minutes137125$0
94375Test to measure rate of airflow108106$0
View full utilization report →

Insurance plans in this area (ZIP 42001)

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Provider's Procedures

DR. KEITH EDWARD KELLY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEKY31622Diagnostic examination of lung airways using an endoscope3535
PULMONARY DISEASEKY94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration5757

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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

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Frequently asked questions

What NPI should I save for DR. KEITH EDWARD KELLY (M.D.)?
Save NPI 1396856746 if you need a stable reference for DR. KEITH EDWARD KELLY (M.D.).
Is DR. KEITH EDWARD KELLY (M.D.) active in the national directory?
DR. KEITH EDWARD KELLY (M.D.)'s public NPI profile is in an active state.
Does DR. KEITH EDWARD KELLY (M.D.) list a primary specialty?
If you are matching referrals, note Pulmonary Disease Physician for DR. KEITH EDWARD KELLY (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. KEITH EDWARD KELLY (M.D.) practice in Kentucky?
You will see Paducah, Kentucky on file for DR. KEITH EDWARD KELLY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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