KELLY M MCMASTERS (MD) – Surgical Oncology Physician, NPI 1457330094

KELLY M MCMASTERS (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 27332 (KY). The NPI Number for KELLY M MCMASTERS (MD) is 1457330094

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KELLY M MCMASTERS (MD)
NPI
1457330094
Phone
(502) 583-8303
Address
401 E CHESTNUT ST
Enumeration Date
12 January 2006
Last Update Date
30 July 2009

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
50258383032
Graduation Year
1989 (37 years ago)
PAC ID
5395712301
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20040910000329
Address ID
KY402025707LO401XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

539 GENERAL SURGERY in KY

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Provider Addresses for KELLY M MCMASTERS (MD)

  • UofL Physicians Outpatient Center, 401, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States

    SUITE 710

    LOUISVILLE, KY 402025700

    Phone: (502) 583-8303

    Fax: (502) 584-0302

    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 2 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Integra LifeSciences Corporation ($262).

Total Amount

$262

General + Research + Ownership

Payments

2

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2004-09-10

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
I20040910000329IGeneral SurgeryKYTBD

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
99204New patient office or other outpatient visit, 45-59 minutes9090$0
99213Established patient office or other outpatient visit, 20-29 minutes6948$0
13101Complicated repair of wound of trunk, 2.6-7.5 cm2928$0
11604Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm2929$0
38900Imaging of lymph nodes during surgery2626$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Where can patients find KELLY M MCMASTERS (MD)'s NPI?
You can confirm KELLY M MCMASTERS (MD) with NPI 1457330094; it appears in the national provider directory.
Is KELLY M MCMASTERS (MD) active in the national directory?
KELLY M MCMASTERS (MD)'s public NPI profile is in an active state.
What field does KELLY M MCMASTERS (MD) work in?
You can think of KELLY M MCMASTERS (MD) as practicing within Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY M MCMASTERS (MD)?
The page summarizes Louisville, Kentucky for KELLY M MCMASTERS (MD); expand the address list for detail.
How can I contact KELLY M MCMASTERS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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