DR. GREGORY PAUL KELLEY (DO) – Family Medicine Physician, NPI 1043256019
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GREGORY PAUL KELLEY (DO)
14024, Quail Pointe Drive, Oklahoma City, Oklahoma County, Oklahoma, 73134, United States
OKLAHOMA CITY, OK 731341006
Phone: (405) 419-8447
Fax: (405) 419-7745
Type: Mailing
13190, Northeast 23rd Street, Choctaw, Oklahoma County, Oklahoma, 73020, United States
CHOCTAW, OK 730208621
Phone: (405) 769-7201
Fax: (405) 769-4034
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-05-06
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 |
|---|---|---|---|---|
| I20100506001056 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 960 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 721 | 254 | $0 |
| 95004 | Test for allergy using allergenic extract | 616 | 11 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 473 | 236 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 304 | 182 | $0 |
Insurance plans in this area (ZIP 73134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Family Practice | OK |
Reviews
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