KELLY JESTER GELDMACHER (M.D.) – Emergency Medicine Physician, NPI 1043327554

KELLY JESTER GELDMACHER (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036112201 (IL). The NPI Number for KELLY JESTER GELDMACHER (M.D.) is 1043327554

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JESTER GELDMACHER (M.D.)
NPI
1043327554
Phone
(800) 253-5358
Address
4075 COPPER RIDGE DR
Enumeration Date
23 August 2006
Last Update Date
18 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
6182342120
Graduation Year
2002 (24 years ago)
PAC ID
6709807050
Group Practice PAC ID
3274793633
Professional Enrollment ID
I20051214000321
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

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for KELLY JESTER GELDMACHER (M.D.)

  • Copper Ridge Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496847059

    Phone: (800) 253-5358

    Fax: (231) 932-4134

    Type: Mailing

  • Anderson Hospital, 6800, State Route 162, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620628500

    Phone: (618) 391-5711

    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: 2005-12-14

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
I20051214000321IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making213201$0
99284Emergency department visit with moderate level of medical decision making126124$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6865$0
99291Critical care, first 30-74 minutes4746$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 3274793633View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineIL
Nurse PractitionerIL
-IL
Emergency MedicineWI
Emergency MedicinePA
Emergency MedicineCA
Emergency MedicineIL
Nurse PractitionerIL
Emergency MedicineIL

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Frequently asked questions

What unique ID ties claims to KELLY JESTER GELDMACHER (M.D.)?
NPI 1043327554 is assigned to KELLY JESTER GELDMACHER (M.D.) under the national enumeration system.
Is KELLY JESTER GELDMACHER (M.D.) currently active in the NPI registry?
CMS-published data lists KELLY JESTER GELDMACHER (M.D.) as an active registrant.
What kind of provider is KELLY JESTER GELDMACHER (M.D.)?
The page reflects Emergency Medicine Physician for KELLY JESTER GELDMACHER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for KELLY JESTER GELDMACHER (M.D.)?
We surface Traverse City, Michigan for KELLY JESTER GELDMACHER (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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