DR. CAITLIN HARRISON KELLY (DO) – Emergency Medicine Physician, NPI 1700409570
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,686 EMERGENCY MEDICINE in OH
Provider Addresses for DR. CAITLIN HARRISON KELLY (DO)
26103 COOLIDGE HWY
OAK PARK, MI 482371110
Phone:
Type: Mailing
3535 OLENTANGY RIVER RD
COLUMBUS, OH 432143908
Phone: (614) 566-5000
Type: Location
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 483365919
Phone: (947) 521-1320
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Penumbra, Inc. ($26).
Total Amount
$30
General + Research + Ownership
Payments
2
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $26 |
| MY01 Inc. | $4 |
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: 2024-08-27
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 |
|---|---|---|---|---|
| I20240827001452 | I | Emergency Medicine | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | FL |
Reviews
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