DR. JERALD DONALD KELLY (DC) – Chiropractor, NPI 1528095460

DR. JERALD DONALD KELLY (DC) is a healthcare provider. based in Longview, Texas. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 8145 (TX). The NPI Number for DR. JERALD DONALD KELLY (DC) is 1528095460

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERALD DONALD KELLY (DC)
NPI
1528095460
Phone
(903) 753-2322
Address
2 DOCTOR CIR
Enumeration Date
27 June 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037532322
Graduation Year
1999 (27 years ago)
PAC ID
4587824404
Group Practice PAC ID
1456612217
Professional Enrollment ID
I20120329000433
Address ID
TX756055050LO2XXXXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for DR. JERALD DONALD KELLY (DC)

  • 2 DOCTOR CIR

    LONGVIEW, TX 756055050

    Phone: (903) 753-2322

    Fax: (903) 234-2322

    Type: Mailing

  • Preston Road, Dallas, TX, Dallas, Dallas County, Texas, 75225, United States

    STE. 405

    DALLAS, TX 752301277

    Phone: (972) 392-4476

    Fax: (972) 392-4478

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Bioventus LLC ($81).

Total Amount

$109

General + Research + Ownership

Payments

5

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

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: 2012-03-29

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
I20120329000433IChiropracticTXTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions81889$0
98940Chiropractic manipulative treatment, 1-2 spinal regions56861$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 1456612217View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JERALD DONALD KELLY (DC) by NPI?
Use NPI 1528095460 when you need to reference DR. JERALD DONALD KELLY (DC) in forms, claims, or directories.
Is DR. JERALD DONALD KELLY (DC)'s NPI currently valid?
The extract we use shows DR. JERALD DONALD KELLY (DC) as active.
Does DR. JERALD DONALD KELLY (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. JERALD DONALD KELLY (DC). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JERALD DONALD KELLY (DC)?
The snapshot lists Longview, Texas for DR. JERALD DONALD KELLY (DC); download NPPES for the complete set.
How can I contact DR. JERALD DONALD KELLY (DC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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