JASON KELTY (D.P.M.) – Podiatrist, NPI 1043654007

JASON KELTY (D.P.M.) is a healthcare provider. based in Beachwood, Ohio. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 36003762 (OH). The NPI Number for JASON KELTY (D.P.M.) is 1043654007

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON KELTY (D.P.M.)
NPI
1043654007
Phone
(216) 672-4330
Address
3733 PARK EAST DR
Enumeration Date
22 April 2013
Last Update Date
7 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2162451290
Graduation Year
2013 (13 years ago)
PAC ID
3577859750
Group Practice PAC ID
6507936671
Professional Enrollment ID
I20160914002419
Address ID
OH441224337BE3733XDRXX419
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for JASON KELTY (D.P.M.)

  • 3733 PARK EAST DR

    SUITE 240

    BEACHWOOD, OH 441224338

    Phone: (216) 672-4330

    Fax: (866) 571-4884

    Type: Mailing

  • 116 EAST AVE

    SUITE 4

    TALLMADGE, OH 442782300

    Phone: (216) 245-1290

    Fax: (866) 571-4884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Solventum Corporation ($103).

Total Amount

$489

General + Research + Ownership

Payments

14

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2016-09-14

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
I20160914002419IPodiatryOHTBD

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
11721Removal of fingernails or toenails, 6 or more nails860290$0
99212Established patient office or other outpatient visit, 10-19 minutes208138$0
99213Established patient office or other outpatient visit, 20-29 minutes10879$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9950$0
11042Removal of skin and tissue, 20.0 sq cm or less9723$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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Provider's Procedures

JASON KELTY (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11056Removal of 2 to 4 thickened skin growths3317

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: 6507936671View full group profile

Reviews

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Frequently asked questions

How is JASON KELTY (D.P.M.) identified in CMS data?
CMS-hosted NPPES data lists JASON KELTY (D.P.M.) with NPI 1043654007.
Does CMS list JASON KELTY (D.P.M.) as active?
Yes — JASON KELTY (D.P.M.) is active in the NPI listing used on this page.
What taxonomy line describes JASON KELTY (D.P.M.)?
For research purposes, treat JASON KELTY (D.P.M.) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JASON KELTY (D.P.M.)?
JASON KELTY (D.P.M.)'s geographic hint is Beachwood, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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