KARL DAVID KELLEY (MD) – Emergency Medicine Physician, NPI 1972543064
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
Provider Addresses for KARL DAVID KELLEY (MD)
185 Hospital Rd
Winchester, TN 373982404
Phone: (931) 967-8200
Type: Location
4059 KEITH RD
SPRINGFIELD, TN 371726971
Phone: (615) 384-6222
Type: Mailing
310 N L ROGERS WELLS BLVD
GLASGOW, KY 421411300
Phone: (270) 659-5555
Type: Location
Southern Tennessee - Winchester, 185, Hospital Road, Winchester, Franklin County, Tennessee, 37398, United States
WINCHESTER, TN 373982404
Phone: (931) 967-8200
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: 2014-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (918 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20040909000925 | I | Emergency Medicine | TN | TBD |
| I20141112001385 | I | Emergency Medicine | KY | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 257 | 240 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 94 | 90 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 37398)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | MT | |
| Emergency Medicine | WV | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| Nurse Practitioner | KY | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY |
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