PATRICK KELLY (MD) – Emergency Medicine Physician, NPI 1134655855

PATRICK KELLY (MD) is a healthcare provider. based in Lebanon, Oregon. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD210185 (OR). The NPI Number for PATRICK KELLY (MD) is 1134655855

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK KELLY (MD)
NPI
1134655855
Phone
(541) 258-2101
Address
525 N Santiam Hwy
Enumeration Date
2 May 2017
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5412227300
Graduation Year
2019 (7 years ago)
PAC ID
9739561358
Group Practice PAC ID
2264330448
Professional Enrollment ID
I20220728003727
Address ID
OR974778800SP3333XDRXX300

Contacts

Secure Messaging
pkelly308704@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

827 EMERGENCY MEDICINE in OR

Provider Addresses for PATRICK KELLY (MD)

  • 525 N Santiam Hwy

    Lebanon, OR 973554363

    Phone: (541) 258-2101

    Type: Location

  • Duke University Hospital, 2301, Erwin Road, Crest Street, Durham, Durham County, North Carolina, 27710, United States

    DURHAM, NC 277054699

    Phone: (919) 684-8111

    Type: Mailing

  • 3333 RIVERBEND DR

    SPRINGFIELD, OR 974778800

    Phone: (541) 222-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($277).

Total Amount

$277

General + Research + Ownership

Payments

2

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$277
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: 2022-07-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220728003727IEmergency MedicineORTBD

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
99285Emergency department visit with high level of medical decision making175173$0
99291Critical care, first 30-74 minutes5251$0
99284Emergency department visit with moderate level of medical decision making4338$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97355)

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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: 2264330448View full group profile
NameSpecialtyState
Emergency MedicineOR
Emergency MedicineID
Emergency MedicineOR
Emergency MedicineNM
Emergency MedicineNJ
Emergency MedicineFL
Emergency MedicineOR
Emergency MedicineOR
Emergency MedicineCA
Emergency MedicineOR

Reviews

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Frequently asked questions

Can I use this page to confirm PATRICK KELLY (MD)'s NPI?
Yes. PATRICK KELLY (MD) is listed with NPI 1134655855 in the public NPI dataset.
Does CMS list PATRICK KELLY (MD) as active?
Yes — PATRICK KELLY (MD) is active in the NPI listing used on this page.
What taxonomy line describes PATRICK KELLY (MD)?
For research purposes, treat PATRICK KELLY (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is PATRICK KELLY (MD) based?
PATRICK KELLY (MD) is tied to Lebanon, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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