KELLI LOVELACE (M.D.) – Dermatology Physician, NPI 1629117528

KELLI LOVELACE (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 23483 (OK). The NPI Number for KELLI LOVELACE (M.D.) is 1629117528

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLI LOVELACE (M.D.)
NPI
1629117528
Phone
(918) 749-2261
Address
PO BOX 52588
Enumeration Date
6 February 2007
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187492261
Graduation Year
2003 (23 years ago)
PAC ID
1557453685
Group Practice PAC ID
7719079839
Professional Enrollment ID
I20070822000257
Address ID
OK741141409TU2121XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

126 DERMATOLOGY in OK

Provider Addresses for KELLI LOVELACE (M.D.)

  • PO BOX 52588

    TULSA, OK 741520588

    Phone: (918) 749-2261

    Type: Mailing

  • 2121 E 21ST ST

    TULSA, OK 741141409

    Phone: (918) 749-2261

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 226 Open Payments records for all available years, with a total value of $4,596.

Total Amount is formed as General ($4,596) + Research ($0) + Ownership ($0) = $4,596.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,315).

Total Amount

$4,596

General + Research + Ownership

Payments

226

Total payment records

General Amount

$4,596

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-08-22

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
I20070822000257IDermatologyOKTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,137433$0
99213Established patient office or other outpatient visit, 20-29 minutes1,6341,139$0
17000Destruction of precancer skin growth, 1 growth875635$0
17110Destruction of skin growth, 1-14 growths682576$0
99214Established patient office or other outpatient visit, 30-39 minutes381301$0
View full utilization report →

Insurance plans in this area (ZIP 74152)

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Provider's Procedures

KELLI LOVELACE (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOK17003Destruction of 2-14 skin growths1795406

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: 7719079839View full group profile
NameSpecialtyState
D E R M A T O L O G YOK
D E R M A T O L O G YOK
D E R M A T O L O G YOK
-OK
D E R M A T O L O G YOK
D E R M A T O L O G YMO
D E R M A T O L O G YOK
D E R M A T O L O G YOK

Reviews

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Frequently asked questions

Can I verify KELLI LOVELACE (M.D.) with an NPI only?
You can start verification with NPI 1629117528 for KELLI LOVELACE (M.D.), then check state licensing separately.
Does the file indicate KELLI LOVELACE (M.D.) is practicing under active NPI?
Directory data currently reports KELLI LOVELACE (M.D.) as active.
What healthcare role does KELLI LOVELACE (M.D.) hold?
Scheduling teams often label KELLI LOVELACE (M.D.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does KELLI LOVELACE (M.D.) serve?
KELLI LOVELACE (M.D.)'s listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
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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