DR. KELLY MICHAEL JAMES – Surgery Physician, NPI 1366428302
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
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Provider Addresses for DR. KELLY MICHAEL JAMES
19101, East Valley View Parkway, Independence, Jackson County, Missouri, 64055, United States
SUITE B
INDEPENDENCE, MO 640556904
Phone: (816) 254-9292
Fax: (816) 795-8996
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)
CMS reports 105 Open Payments records for all available years, with a total value of $51,574.
Total Amount is formed as General ($51,574) + Research ($0) + Ownership ($0) = $51,574.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($50,525).
Total Amount
$51,574
General + Research + Ownership
Payments
105
Total payment records
General Amount
$51,574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $50,525 |
| Organogenesis Inc. | $241 |
| Ascensia Diabetes Care Us Inc. | $240 |
| ConvaTec Inc. | $198 |
| Kerecis Limited | $133 |
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: 2012-01-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120114000046 | I | General Surgery | MO | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 284 | 48 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 236 | 93 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 135 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 40 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 49 | 48 | $0 |
Insurance plans in this area (ZIP 64055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MO | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KS | |
| Orthopedic Surgery | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MI |
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