DR. KRISTINE KELLEY (M.D.) – Surgery Physician, NPI 1811968621
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KRISTINE KELLEY (M.D.)
300 Lackawanna Ave Ste 200
Scranton, PA 185032001
Phone: (570) 342-7864
Fax: (570) 840-2987
Type: Location
PO BOX 783311
PHILADELPHIA, PA 191783311
Phone: (484) 884-4500
Fax: (484) 884-0699
Type: Mailing
225, Penn Avenue, Downtown, Scranton, Lackawanna County, Pennsylvania, 18503, United States
SCRANTON, PA 185031921
Phone: (570) 342-7864
Fax: (570) 342-7119
Type: Location
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: 2010-05-06
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 |
|---|---|---|---|---|
| I20100506000294 | I | General Surgery | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 890 | 890 | $0 |
| 77063 | Screening 3d breast mammography | 889 | 889 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 253 | 231 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 236 | 198 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 201 | 201 | $0 |
Insurance plans in this area (ZIP 18503)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | FL | |
| Qualified Audiologist | PA | |
| - | PA | |
| U R O L O G Y | PA |
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