KELLY RENEE DEATLEY (M.D.) – Family Medicine Physician, NPI 1467848952
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
Provider Addresses for KELLY RENEE DEATLEY (M.D.)
325 W WALNUT ST STE 600
LEBANON, KY 400331378
Phone: (270) 699-9500
Fax: (270) 795-4015
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 83 Open Payments records for all available years, with a total value of $1,301.
Total Amount is formed as General ($1,301) + Research ($0) + Ownership ($0) = $1,301.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($297).
Total Amount
$1,301
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $297 |
| Novo Nordisk Inc | $143 |
| SHIELD THERAPEUTICS INC | $102 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $88 |
| ABBVIE INC. | $86 |
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: 2017-03-17
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 |
|---|---|---|---|---|
| I20170317001912 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 838 | 446 | $0 |
| 94760 | Test to measure oxygen level in blood using ear or finger device | 595 | 320 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 494 | 379 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 444 | 375 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 400 | 354 | $0 |
Insurance plans in this area (ZIP 40033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | PA | |
| Family Practice | KY | |
| Family Practice | KY | |
| Internal Medicine | IN | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | OH |
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