DR. KELLY NEAVES MCDONOUGH (M.D.) – Diagnostic Radiology Physician, NPI 1831195528
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
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Provider Addresses for DR. KELLY NEAVES MCDONOUGH (M.D.)
2601, Kelley Pointe Parkway, Edmond, Oklahoma County, Oklahoma, 73013, United States
STE 101
EDMOND, OK 730132996
Phone: (405) 844-2601
Fax: (405) 844-2610
Mailing address matches the actual address.
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: 2005-09-28
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 |
|---|---|---|---|---|
| I20050928000119 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,184 | 1,184 | $0 |
| 77067 | Screening mammography | 1,184 | 1,184 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 333 | 322 | $0 |
| 77066 | Diagnostic mammography of both breasts | 229 | 228 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 148 | 129 | $0 |
Insurance plans in this area (ZIP 73013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Medical Oncology | RI | |
| Clinical Social Worker | OK |
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