DR. BENJAMIN F KELLEY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1659702942
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for DR. BENJAMIN F KELLEY (M.D.)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
320 Santa Fe Dr Ste 207
Encinitas, CA 920245140
Phone: (760) 633-7234
Fax: (760) 436-9838
Type: Location
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 921275705
Phone: (858) 554-8646
Fax: (858) 554-6271
Type: Mailing
10820 N TORREY PINES RD
LA JOLLA, CA 920371036
Phone: (858) 554-8646
Fax: (858) 554-6271
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,496.
Total Amount is formed as General ($1,496) + Research ($0) + Ownership ($0) = $1,496.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Integra LifeSciences Corporation ($540).
Total Amount
$1,496
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $540 |
| PFIZER INC. | $136 |
| Acera Surgical, Inc. | $104 |
| ABBVIE INC. | $85 |
| Organogenesis Inc. | $77 |
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: 2018-07-09
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 |
|---|---|---|---|---|
| I20180709001550 | I | Dermatology | CA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 940 | 601 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 728 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 562 | 389 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 406 | 361 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 252 | 182 | $0 |
Insurance plans in this area (ZIP 55905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MN | 17003 | Destruction of 2-14 skin growths | 38 | 11 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
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