DR. KELLY E WILLIAMS (D.O.) – Interventional Pain Medicine Physician, NPI 1093940546
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
878 PHYSICAL MEDICINE AND REHABILITATION in PA
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Provider Addresses for DR. KELLY E WILLIAMS (D.O.)
5, Morgan Highway, Scranton, Lackawanna County, Pennsylvania, 18508, United States
SUITE 4
SCRANTON, PA 185082641
Phone: (570) 344-3788
Fax: (570) 969-9280
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: 2014-09-30
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 |
|---|---|---|---|---|
| I20140930002521 | I | Physical Medicine And Rehabilitation | PA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,459 | 297 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,375 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 163 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 238 | 161 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 153 | $0 |
Insurance plans in this area (ZIP 18508)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | PA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 51 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | PA | |
| Physical Medicine And Rehabilitation | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physical Medicine And Rehabilitation, Pain Management | PA | |
| Physician Assistant | PA | |
| Physical Therapist In Private Practice | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Physical Medicine And Rehabilitation | PA |
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