DR. KELLY S TATE (MD) – Family Medicine Physician, NPI 1700839040
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for DR. KELLY S TATE (MD)
1724 KENTON ST
SUITE 2 A
HOPKINSVILLE, KY 422401981
Phone: (270) 885-2091
Fax: (270) 885-2094
Type: Mailing
118 S MAIN ST
ELKTON, KY 422208863
Phone: (270) 265-5023
Fax: (270) 265-5026
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Exact Sciences Corporation ($106).
Total Amount
$141
General + Research + Ownership
Payments
8
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $106 |
| Dexcom, Inc. | $19 |
| Abbott Laboratories | $16 |
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: 2004-01-05
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040105000025 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 416 | 149 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 217 | 126 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 72 | $0 |
| 83036 | Hemoglobin a1c level | 113 | 65 | $0 |
| 96161 | Administration and interpretation of caregiver-focused health risk assessment | 79 | 72 | $0 |
Insurance plans in this area (ZIP 42240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Internal Medicine | WI | |
| Internal Medicine | CO | |
| H O S P I T A L I S T | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Internal Medicine | KY | |
| Radiation Oncology | OH | |
| Nurse Practitioner | KY | |
| Internal Medicine | IN |
Reviews
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