DR. KELLY B CONNER (M.D.) – Dermatology Physician, NPI 1801039722

DR. KELLY B CONNER (M.D.) is a healthcare provider. based in Katy, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. P4855 (TX). The NPI Number for DR. KELLY B CONNER (M.D.) is 1801039722

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY B CONNER (M.D.)
NPI
1801039722
Phone
(281) 394-9500
Address
23050 WESTHEIMER PKWY
Enumeration Date
7 April 2009
Last Update Date
2 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2813949500
Graduation Year
2009 (17 years ago)
PAC ID
4082858246
Group Practice PAC ID
0345484598
Professional Enrollment ID
I20130910000689
Address ID
TX774943596KA23050PKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. KELLY B CONNER (M.D.)

  • 23050 WESTHEIMER PKWY

    KATY, TX 774943596

    Phone: (281) 394-9500

    Fax: (281) 394-5350

    Type: Mailing

  • World Of Beer, 2643, Commercial Center Boulevard, Cinco Ranch, Katy, Fort Bend County, Texas, 25826, United States

    STE B360

    KATY, TX 774946408

    Phone: (281) 394-9500

    Fax: (281) 394-5350

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $2,934.

Total Amount is formed as General ($2,934) + Research ($0) + Ownership ($0) = $2,934.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($705).

Total Amount

$2,934

General + Research + Ownership

Payments

162

Total payment records

General Amount

$2,934

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2013-09-10

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
I20130910000689IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths631118$0
99213Established patient office or other outpatient visit, 20-29 minutes234182$0
11102Biopsy of related skin growth, first growth204166$0
17000Destruction of precancer skin growth, 1 growth204158$0
99214Established patient office or other outpatient visit, 30-39 minutes195148$0
View full utilization report →

Insurance plans in this area (ZIP 77494)

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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: 0345484598View full group profile
NameSpecialtyState
D E R M A T O L O G YLA
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Is DR. KELLY B CONNER (M.D.) listed with a National Provider Identifier?
Yes — DR. KELLY B CONNER (M.D.) has NPI 1801039722 on file in the registry.
Is there an active status for DR. KELLY B CONNER (M.D.)?
For scheduling context, DR. KELLY B CONNER (M.D.) is shown as active in the registry.
What area of care is associated with DR. KELLY B CONNER (M.D.)?
DR. KELLY B CONNER (M.D.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KELLY B CONNER (M.D.)?
Travel planning: use Katy, Texas as the reference point for DR. KELLY B CONNER (M.D.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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