MICHAEL JOHN KELLEY (PA-C) – Physician Assistant, NPI 1013285386
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for MICHAEL JOHN KELLEY (PA-C)
297 NORTH ST STE 221
HYANNIS, MA 026015133
Phone: (508) 862-7777
Type: Mailing
1 TROWBRIDGE RD
SUITE 100
BOURNE, MA 025323660
Phone: (508) 778-4777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121210000337 | I | Physician Assistant | MA | 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 | 428 | 333 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 339 | 288 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 152 | 152 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 75 | 74 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 49 | 47 | $0 |
Insurance plans in this area (ZIP 02601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| Family Practice | MA | |
| Internal Medicine | MA | |
| Thoracic Surgery, General Surgery | MA | |
| - | MA | |
| N E U R O S U R G E R Y | MA | |
| - | NV |
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