KELLY C PELTON (MD) – Internal Medicine Physician, NPI 1356347868

KELLY C PELTON (MD) is a healthcare provider. based in Kerrville, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. K6685 (TX). The NPI Number for KELLY C PELTON (MD) is 1356347868

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KELLY C PELTON (MD)
NPI
1356347868
Phone
(830) 792-0805
Address
176 FAIRWAY DR
Enumeration Date
21 June 2005
Last Update Date
7 March 2013

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8307920805
Graduation Year
1995 (31 years ago)
PAC ID
8224181193
Group Practice PAC ID
2062582638
Professional Enrollment ID
I20090727000026
Address ID
TX780286437KE176XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for KELLY C PELTON (MD)

  • 176, Fairway Drive, Riverhill, Kerrville, Kerr County, Texas, 78028, United States

    KERRVILLE, TX 780286437

    Phone: (830) 792-0805

    Fax: (830) 792-0833

    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 60 Open Payments records for all available years, with a total value of $1,473.

Total Amount is formed as General ($1,473) + Research ($0) + Ownership ($0) = $1,473.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($294).

Total Amount

$1,473

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2009-07-27

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
I20090727000026IInternal MedicineTXTBD

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 minutes322189$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit246246$0
99212Established patient office or other outpatient visit, 10-19 minutes207153$0
99214Established patient office or other outpatient visit, 30-39 minutes175114$0
99497Advance care planning, first 30 minutes105105$0
View full utilization report →

Insurance plans in this area (ZIP 78028)

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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: 2062582638View full group profile
NameSpecialtyState
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 is KELLY C PELTON (MD)'s NPI number?
KELLY C PELTON (MD)'s NPI is 1356347868 — the number used across U.S. healthcare to identify this provider.
Would KELLY C PELTON (MD) appear as active to a payer?
You can treat KELLY C PELTON (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KELLY C PELTON (MD)?
At a glance, KELLY C PELTON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY C PELTON (MD)?
Travel planning: use Kerrville, Texas as the reference point for KELLY C PELTON (MD), then confirm.
Can I trust this NPI listing for KELLY C PELTON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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