STEPHEN B. KELLY (M.D.) – Family Medicine Physician, NPI 1134167455

STEPHEN B. KELLY (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in FAMILY PRACTICE, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 21242 (OK). The NPI Number for STEPHEN B. KELLY (M.D.) is 1134167455

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN B. KELLY (M.D.)
NPI
1134167455
Phone
(405) 752-9600
Address
13921 N MERIDIAN AVE STE 100
Enumeration Date
2 June 2006
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4057529600
Graduation Year
1998 (28 years ago)
PAC ID
3476543794
Group Practice PAC ID
3173535515
Professional Enrollment ID
I20040710000376
Address ID
OK731341106OK13921AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for STEPHEN B. KELLY (M.D.)

  • 13921 N MERIDIAN AVE STE 100

    OKLAHOMA CITY, OK 731341106

    Phone: (405) 752-9600

    Fax: (405) 752-9650

    Type: Location

  • PO BOX 268938

    OKLAHOMA CITY, OK 731268938

    Phone: (405) 752-9600

    Fax: (405) 752-9650

    Type: Mailing

  • 5101, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    OKLAHOMA CITY, OK 731422018

    Phone: (405) 752-9600

    Fax: (405) 752-9650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 206 Open Payments records for all available years, with a total value of $3,311.

Total Amount is formed as General ($3,311) + Research ($0) + Ownership ($0) = $3,311.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($451).

Total Amount

$3,311

General + Research + Ownership

Payments

206

Total payment records

General Amount

$3,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2004-07-10

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
I20040710000376IFamily PracticeOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg767120$0
99213Established patient office or other outpatient visit, 20-29 minutes593268$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg46984$0
J2405Injection, ondansetron hydrochloride, per 1 mg41227$0
80307Testing for presence of drug, by chemistry analyzers241193$0
View full utilization report →

Insurance plans in this area (ZIP 73134)

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Provider's Procedures

STEPHEN B. KELLY (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK20610Aspiration and/or injection of large joint or joint capsule1312

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: 3173535515View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
-OK
A N E S T H E S I O L O G YOK
Physician AssistantOK
Physician AssistantOK

Reviews

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Frequently asked questions

Is STEPHEN B. KELLY (M.D.) listed with a National Provider Identifier?
Yes — STEPHEN B. KELLY (M.D.) has NPI 1134167455 on file in the registry.
Is STEPHEN B. KELLY (M.D.) shown as active in public data?
Registry records indicate STEPHEN B. KELLY (M.D.) maintains an active NPI.
What expertise is attributed to STEPHEN B. KELLY (M.D.)?
STEPHEN B. KELLY (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is STEPHEN B. KELLY (M.D.) located near Oklahoma City?
STEPHEN B. KELLY (M.D.) currently maps to Oklahoma City, Oklahoma in this extract.
When was this NPI issued?
Enumeration for STEPHEN B. KELLY (M.D.) is noted as June 2, 2006 where the registry provides it.

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