CAROLINE LANSING KELLY (MD) – Obstetrics & Gynecology Physician, NPI 1689966459

CAROLINE LANSING KELLY (MD) is a healthcare provider. based in Grants pass, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD172322 (OR). The NPI Number for CAROLINE LANSING KELLY (MD) is 1689966459

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE LANSING KELLY (MD)
NPI
1689966459
Phone
(541) 479-8363
Address
1075 GRANDVIEW AVE STE 200
Enumeration Date
11 May 2011
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5414798363
Graduation Year
2011 (15 years ago)
PAC ID
1355656489
Group Practice PAC ID
8628041720
Professional Enrollment ID
I20150818004665
Address ID
OR975275118GR1075XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

Provider Addresses for CAROLINE LANSING KELLY (MD)

  • 1075 GRANDVIEW AVE STE 200

    GRANTS PASS, OR 975275118

    Phone: (541) 479-8363

    Fax: (541) 476-2841

    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)

CMS reports 15 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($227).

Total Amount

$373

General + Research + Ownership

Payments

15

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2015-08-18

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
I20150818004665IObstetrics/GynecologyORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5940$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1212$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97527)

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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: 8628041720View full group profile
NameSpecialtyState
Physician AssistantOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Nurse PractitionerOR
Physician AssistantAZ
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Physician AssistantOR

Reviews

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Frequently asked questions

What number should I use to identify CAROLINE LANSING KELLY (MD) for billing?
Administrative and clinical systems typically use NPI 1689966459 for CAROLINE LANSING KELLY (MD).
Is CAROLINE LANSING KELLY (MD)'s NPI status active today?
Active status means CAROLINE LANSING KELLY (MD)'s NPI record is not deactivated in the public file.
How should patients interpret CAROLINE LANSING KELLY (MD)'s specialty?
The extract shows Obstetrics & Gynecology Physician for CAROLINE LANSING KELLY (MD). Clinical services aligned with this taxonomy classification.
What city is tied to CAROLINE LANSING KELLY (MD)?
The directory associates CAROLINE LANSING KELLY (MD) with Grants Pass, Oregon. Check all listed addresses for suites or satellite offices.
Can I export CAROLINE LANSING KELLY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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