JOHN T KELLY (MD) – Allergy & Immunology Physician, NPI 1104874361
Allergy & Immunology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
96 ALLERGY/IMMUNOLOGY in WI
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Provider Addresses for JOHN T KELLY (MD)
Dean Clinic - Madison East, 1821, South Stoughton Road, Madison, Dane County, Wisconsin, 53716, United States
MADISON, WI 537162257
Phone: (608) 260-6000
Fax: (608) 260-6429
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 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($91).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $91 |
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: 2007-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070728000168 | I | Allergy/Immunology | WI | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 4,155 | 24 | $0 |
| 95004 | Test for allergy using allergenic extract | 862 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 107 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 63 | $0 |
Insurance plans in this area (ZIP 53716)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | WI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 38 | 38 |
| ALLERGY/IMMUNOLOGY | WI | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 95 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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