KELLEY A BAHR (MD) – Family Medicine Physician, NPI 1366441297

KELLEY A BAHR (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 42123 (WI). The NPI Number for KELLEY A BAHR (MD) is 1366441297

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY A BAHR (MD)
NPI
1366441297
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
21 July 2005
Last Update Date
8 May 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6087837300
Graduation Year
1997 (29 years ago)
PAC ID
4880882851
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20101217000747
Address ID
WI546015429LA1836XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

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Provider Addresses for KELLEY A BAHR (MD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • Gundersen Lutheran Medical Center Onalaska, 3111, Gundersen Drive, Onalaska, La Crosse County, Wisconsin, 54650, United States

    ONALASKA, WI 546508447

    Phone: (608) 775-8630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-17

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
I20101217000747IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5649$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

What federal number belongs to KELLEY A BAHR (MD)?
The federal identifier for KELLEY A BAHR (MD) is NPI 1366441297.
Is KELLEY A BAHR (MD) currently active in the NPI registry?
CMS-published data lists KELLEY A BAHR (MD) as an active registrant.
What field does KELLEY A BAHR (MD) work in?
You can think of KELLEY A BAHR (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for KELLEY A BAHR (MD)?
We surface La Crosse, Wisconsin for KELLEY A BAHR (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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