JOSEPH P KELLY (DO) – Orthopaedic Surgery Physician, NPI 1164917779
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for JOSEPH P KELLY (DO)
8907 S Howell Ave Ste 800
Oak Creek, WI 531544461
Phone: (262) 395-4141
Type: Location
12555 W NATIONAL AVE STE 100
NEW BERLIN, WI 531514061
Phone: (262) 395-4141
Fax: (262) 395-4189
Type: Mailing
17000 W North Ave Ste 104W
Brookfield, WI 530054423
Phone: (262) 395-4141
Type: Location
4401 RIVERCHASE DR
PHENIX CITY, AL 368677483
Phone: (334) 732-3022
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $8,068.
Total Amount is formed as General ($8,068) + Research ($0) + Ownership ($0) = $8,068.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($3,771).
Total Amount
$8,068
General + Research + Ownership
Payments
45
Total payment records
General Amount
$8,068
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ENCORE MEDICAL, LP | $3,771 |
| Stryker Corporation | $2,723 |
| Shoulder Innovations, Inc. | $1,324 |
| Linvatec Corporation | $135 |
| Ferring Pharmaceuticals Inc. | $29 |
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: 2024-07-30
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 |
|---|---|---|---|---|
| I20240730003239 | I | Orthopedic Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Pain Management | WI | |
| P O D I A T R Y | WI | |
| Orthopedic Surgery | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI | |
| - | WI | |
| P O D I A T R Y | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI |
Reviews
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