DR. MATTHEW R KELLEY (AUD) – Audiologist, NPI 1205166642

DR. MATTHEW R KELLEY (AUD) is a healthcare provider. based in Springfield, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. The NPI Number for DR. MATTHEW R KELLEY (AUD) is 1205166642

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW R KELLEY (AUD)
NPI
1205166642
Phone
(413) 732-7426
Address
100 WASON AVENUE
Enumeration Date
7 January 2010
Last Update Date
30 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132332052
Graduation Year
2009 (17 years ago)
PAC ID
9537297841
Group Practice PAC ID
5991746265
Professional Enrollment ID
I20100506000920
Address ID
MA011071179SP100XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

288 QUALIFIED AUDIOLOGIST in MA

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Provider Addresses for DR. MATTHEW R KELLEY (AUD)

  • 100, Wason Avenue, Brightwood, Springfield, Hampden County, Massachusetts, 01107, United States

    SUITE 100

    SPRINGFIELD, MA 01107

    Phone: (413) 732-7426

    Fax: (413) 734-2371

    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)

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: 2010-05-06

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
I20100506000920IQualified AudiologistMATBD

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
92567Test to assess middle ear function229227$0
92557Comprehensive hearing and speech recognition test167167$0
92552Test for hearing various pitches using earphone7573$0
92556Test for ability to detect and repeat spoken words with speech recognition6260$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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Provider's Procedures

DR. MATTHEW R KELLEY (AUD) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMA92540Observation, testing, and recording of abnormal eye movement1111
QUALIFIED AUDIOLOGISTMA92552Pure tone air conduction threshold hearing assessment5049
QUALIFIED AUDIOLOGISTMA92567Eardrum testing using ear probe218215

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: 5991746265View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
-MA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA
-MA
Physician AssistantMA
-MA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

Is DR. MATTHEW R KELLEY (AUD) listed with a National Provider Identifier?
Yes — DR. MATTHEW R KELLEY (AUD) has NPI 1205166642 on file in the registry.
Is there an active status for DR. MATTHEW R KELLEY (AUD)?
For scheduling context, DR. MATTHEW R KELLEY (AUD) is shown as active in the registry.
What expertise is attributed to DR. MATTHEW R KELLEY (AUD)?
DR. MATTHEW R KELLEY (AUD)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MATTHEW R KELLEY (AUD)?
Directory geography for DR. MATTHEW R KELLEY (AUD) centers on Springfield, Massachusetts.
Can I trust this NPI listing for DR. MATTHEW R KELLEY (AUD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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