KELLY D CARMICHAEL (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1043399629

KELLY D CARMICHAEL (M.D.) is a healthcare provider. based in League city, Texas. specializing in ORTHOPEDIC SURGERY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. J8483 (TX). The NPI Number for KELLY D CARMICHAEL (M.D.) is 1043399629

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KELLY D CARMICHAEL (M.D.)
NPI
1043399629
Phone
(832) 505-1200
Address
2240 GULF FWY S
Enumeration Date
3 November 2006
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2813987001
Graduation Year
1994 (32 years ago)
PAC ID
9931235306
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20100325000326
Address ID
TX774501759KA511XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for KELLY D CARMICHAEL (M.D.)

  • 2240 GULF FWY S

    LEAGUE CITY, TX 775735143

    Phone: (832) 505-1200

    Fax: (281) 309-0137

    Type: Location

  • PO BOX 650859, DEPT. 710

    DALLAS, TX 752650859

    Phone: (409) 772-2222

    Type: Mailing

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775555302

    Phone: (409) 772-2222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2024-09-22 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($183).

Total Amount

$289

General + Research + Ownership

Payments

8

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-22

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: 2010-03-25

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
I20100325000326IOrthopedic SurgeryTXTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 77573)

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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: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to KELLY D CARMICHAEL (M.D.)?
The federal identifier for KELLY D CARMICHAEL (M.D.) is NPI 1043399629.
Is KELLY D CARMICHAEL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLY D CARMICHAEL (M.D.) work in?
You can think of KELLY D CARMICHAEL (M.D.) as practicing within Pediatric Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KELLY D CARMICHAEL (M.D.)?
The snapshot lists League City, Texas for KELLY D CARMICHAEL (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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