DR. PATRICK ANTHONY KELLEHER (MD) – Internal Medicine Physician, NPI 1952345522

DR. PATRICK ANTHONY KELLEHER (MD) is a healthcare provider. based in Berea, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 20629 (KY). The NPI Number for DR. PATRICK ANTHONY KELLEHER (MD) is 1952345522

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK ANTHONY KELLEHER (MD)
NPI
1952345522
Phone
(859) 986-3124
Address
1036 ACE DR
Enumeration Date
15 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
8599561055
Graduation Year
1974 (52 years ago)
PAC ID
9931185006
Group Practice PAC ID
5799682688
Professional Enrollment ID
I20040629000070
Address ID
KY404032261BE193XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for DR. PATRICK ANTHONY KELLEHER (MD)

  • Ace Drive, Berea, Madison County, Kentucky, 40404, United States

    BEREA, KY 404031327

    Phone: (859) 986-3124

    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 5 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($46).

Total Amount

$106

General + Research + Ownership

Payments

5

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2004-06-29

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
I20040629000070IInternal MedicineKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes404175$0
99213Established patient office or other outpatient visit, 20-29 minutes277136$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7676$0
G0008Administration of influenza virus vaccine7472$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6866$0
View full utilization report →

Insurance plans in this area (ZIP 40403)

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Provider's Procedures

DR. PATRICK ANTHONY KELLEHER (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY81002Urinalysis, manual test1313
INTERNAL MEDICINEKY90670Pneumococcal vaccine for injection into muscle2121

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: 5799682688View full group profile
NameSpecialtyState
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Orthopedic SurgeryCO
Rheumatology, Internal MedicineKY
Family PracticeKY
Family PracticeKY
Nurse PractitionerKY
Orthopedic SurgeryOH
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

What number should I use to identify DR. PATRICK ANTHONY KELLEHER (MD) for billing?
Administrative and clinical systems typically use NPI 1952345522 for DR. PATRICK ANTHONY KELLEHER (MD).
Should I treat DR. PATRICK ANTHONY KELLEHER (MD) as an active provider?
Patients and plans typically see DR. PATRICK ANTHONY KELLEHER (MD) as active in the national extract.
What services align with DR. PATRICK ANTHONY KELLEHER (MD)'s listing?
DR. PATRICK ANTHONY KELLEHER (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PATRICK ANTHONY KELLEHER (MD) in Berea, Kentucky?
For routing, start with Berea, Kentucky for DR. PATRICK ANTHONY KELLEHER (MD), then verify phone and hours locally.
Can I export DR. PATRICK ANTHONY KELLEHER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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