MICHAEL J KELLIS (D.O.) – Sports Medicine (Internal Medicine) Physician, NPI 1831190313
Sports Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
341 SPORTS MEDICINE in OH
Provider Addresses for MICHAEL J KELLIS (D.O.)
PO BOX 887
CHARDON, OH 440240887
Phone: (440) 285-4438
Fax: (440) 285-5870
Type: Mailing
150 SEVENTH AVE
SUITE 200
CHARDON, OH 440242908
Phone: (440) 285-4999
Fax: (440) 285-4996
Type: Location
6480 HARRISON AVE STE 201
CINCINNATI, OH 452477961
Phone: (440) 285-4999
Fax: (440) 285-5870
Type: Mailing
150 SEVENTH AVE STE 200
CHARDON, OH 440242909
Phone: (440) 285-4999
Fax: (402) 855-8704
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $345.
Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Bioventus LLC ($124).
Total Amount
$345
General + Research + Ownership
Payments
11
Total payment records
General Amount
$345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $124 |
| Averitas Pharma Inc. | $85 |
| Nevro Corp. | $48 |
| Ethicon US, LLC | $44 |
| Ferring Pharmaceuticals Inc. | $29 |
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: 2005-04-07
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 |
|---|---|---|---|---|
| I20050407000581 | I | Sports Medicine | OH | 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 |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,408 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 800 | 343 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 174 | 120 | $0 |
| 76882 | Limited ultrasound scan of joint or other extremity structure except blood vessels | 125 | 102 | $0 |
| 73562 | X-ray of knee, 3 views | 121 | 92 | $0 |
Insurance plans in this area (ZIP 44024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Family Practice | OH |
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