DR. MICHAEL ANTHONY KELLY (MD) – Emergency Medicine Physician, NPI 1245276955
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
67 GENERAL PRACTICE in WV
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Provider Addresses for DR. MICHAEL ANTHONY KELLY (MD)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630001
Phone:
Type: Mailing
Raleigh General Hospital, 1710, Harper Road, Beckley, Raleigh County, West Virginia, 25801, United States
BECKLEY, WV 258013357
Phone: (304) 254-3101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-04-09
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 |
|---|---|---|---|---|
| I20040409000044 | I | General Practice | WV | 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 | 108 | 14 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WV | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | PA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Interventional Radiology | AZ | |
| - | WV | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | WV | |
| Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | CA |
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