JENNIFER J KELLY (DO) – Endocrinology, Diabetes & Metabolism Physician, NPI 1104867779
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 INTERNAL MEDICINE in VT
Provider Addresses for JENNIFER J KELLY (DO)
111 Colchester Ave
Burlington, VT 054011473
Phone: (802) 847-0000
Type: Location
133 Park St
Malone, NY 129531244
Phone: (518) 481-2677
Type: Location
130 Fisher Rd Unit 1
Berlin, VT 056028132
Phone: (802) 371-4100
Type: Location
62 TILLEY DR STE 202
SOUTH BURLINGTON, VT 054034407
Phone: (802) 847-4576
Fax: (802) 847-4967
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $5,459.
Total Amount is formed as General ($5,459) + Research ($0) + Ownership ($0) = $5,459.
Last reported payment date: 2023-04-01 • Largest payer in this snapshot: Ascendis Pharma Inc ($4,209).
Total Amount
$5,459
General + Research + Ownership
Payments
2
Total payment records
General Amount
$5,459
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ascendis Pharma Inc | $4,209 |
| Radius Health, Inc. | $1,250 |
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: 2017-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20040708000609 | I | Endocrinology | NY | TBD |
| I20170915002671 | I | Internal Medicine | VT | TBD |
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.
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 |
|---|---|---|---|---|
| 77092 | Interpretation of trabecular bone score (tbs) and report on fracture risk | 1,318 | 1,318 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 1,278 | 1,278 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 786 | 696 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 182 | 58 | $0 |
| 77081 | Dxa bone density measurement of forearm, finger, hand, or foot | 176 | 176 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Nurse Practitioner | MA | |
| - | VT | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VT | |
| - | VT | |
| - | CT | |
| - | VT | |
| - | IN | |
| - | VT |
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