DR. BRIAN THOMAS KELLY (M.D.) – Allergy & Immunology Physician, NPI 1306089230

DR. BRIAN THOMAS KELLY (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 59455 (MN). The NPI Number for DR. BRIAN THOMAS KELLY (M.D.) is 1306089230

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN THOMAS KELLY (M.D.)
NPI
1306089230
Phone
(651) 698-0836
Address
565 Snelling Ave S
Enumeration Date
7 April 2009
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
4023977400
Graduation Year
2009 (17 years ago)
PAC ID
6901052497
Group Practice PAC ID
9931168085
Professional Enrollment ID
I20170714000114
Address ID
NE681302312OM16945STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

91 ALLERGY/IMMUNOLOGY in MN

Provider Addresses for DR. BRIAN THOMAS KELLY (M.D.)

  • 565 Snelling Ave S

    Saint Paul, MN 551161525

    Phone: (651) 698-0836

    Fax: (651) 698-0483

    Type: Location

  • 14080 Boys Town Hospital Rd

    Boys Town, NE 680107513

    Phone: (402) 778-6930

    Fax: (531) 355-0001

    Type: Location

  • Boys Town National Research Hospital, 555, North 30th Street, Omaha, Douglas County, Nebraska, 68131, United States

    OMAHA, NE 681312136

    Phone: (531) 355-6540

    Fax: (531) 355-0001

    Type: Mailing

  • Frances Street, Omaha, Douglas County, Nebraska, 68108, United States

    OMAHA, NE 68130

    Phone: (402) 758-5125

    Fax: (531) 255-0001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($228).

Total Amount

$573

General + Research + Ownership

Payments

40

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2017-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150702000479IAllergy/ImmunologyMNTBD
I20170714000114IAllergy/ImmunologyNETBD

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
J2182Injection, mepolizumab, 1 mg3,80012$0
J2357Injection, omalizumab, 5 mg1,89011$0
95004Test for allergy using allergenic extract1,05830$0
95165Professional service for preparation and provision of 1 or more antigens16323$0
95115Professional service for single injection of allergen14630$0
View full utilization report →

Insurance plans in this area (ZIP 55116)

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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: 9931168085View full group profile
NameSpecialtyState
Physician AssistantNE
--
Allergy/Immunology, Pediatric MedicineNE
-NE
Allergy/Immunology, Pediatric MedicineNE
Pulmonary Disease, Allergy/ImmunologyNE

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN THOMAS KELLY (M.D.) in U.S. healthcare records?
The official identifier for DR. BRIAN THOMAS KELLY (M.D.) is NPI 1306089230.
Would DR. BRIAN THOMAS KELLY (M.D.) appear as active to a payer?
You can treat DR. BRIAN THOMAS KELLY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. BRIAN THOMAS KELLY (M.D.)?
DR. BRIAN THOMAS KELLY (M.D.) is associated with Allergy & Immunology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. BRIAN THOMAS KELLY (M.D.) located near Saint Paul?
DR. BRIAN THOMAS KELLY (M.D.) currently maps to Saint Paul, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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