DR. ANNE M. KELLY M.D.
NPI 1205944824
Orthopaedic Surgery in Uniondale, NY
NPI Status: Active since August 25, 2006
Contact Information
333 EARLE OVINGTON BLVD
OMNI BUILDING
UNIONDALE, NY
ZIP 11553
Phone: (516) 357-8208
Fax: (516) 222-6893
- Individual
- Female
- Orthopaedic Surgery
- PECOS Enrolled
- Opted-Out Medicare
About ANNE KELLY
This page provides the complete NPI Profile along with additional information for Anne Kelly, a provider established in Uniondale, New York with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1205944824 assigned on August 2006. The practitioner's primary taxonomy code is 207X00000X with license number 210036-1 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1205944824
- Provider Name
- DR. ANNE M. KELLY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 333 EARLE OVINGTON BLVD OMNI BUILDING UNIONDALE, NY 11553
- Location Phone
- (516) 357-8208
- Location Fax
- (516) 222-6893
- Mailing Address
- 333 EARLE OVINGTON BLVD OMNI BUILDING UNIONDALE, NY 11553
- Mailing Phone
- (516) 357-8208
- Mailing Fax
- (516) 222-6893
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-25-2006
- Last Update Date
- 07-09-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Anne Kelly opted out of Medicare effective on 07-01-2022 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 210036-1
- License State
- NY
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G79125 | MEDICARE UPIN (02) | NY | |
| 81G502 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
Anne Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2022
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 20 times for 15 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 19 times for 13 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11553 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $105.06
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $26.26
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $83.44
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $20.86
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. ANNE M. KELLY M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 4 | 4 | 8 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 4 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 4 + 8 + 8 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1205944824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013133024 | SHERRIE GLASSER PTPC Organization | Physical Therapist | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (516) 227-6043 |
| 1578738100 | ANNE M KELLY MD PC Organization | Orthopaedic Surgery | 333 EARLE OVINGTON BLVD OMNI BUILDING UNIONDALE, NY 11553 (516) 357-8208 |
| 1215192802 | TRACEY M GRANT DPT Individual | Physical Therapist | 333 EARLE OVINGTON BLVD SUITE 225 UNIONDALE, NY 11553 (516) 321-2400 |
| 1962518688 | CATHLEEN RAGGIO M.D. Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (516) 222-6826 |
| 1245784511 | CHRISTINA KAVANAGH Individual | Specialist/Technologist (Athletic Trainer) | 333 EARLE OVINGTON BLVD SUITE 225 UNIONDALE, NY 11553 (516) 321-2400 |
| 1649720616 | MRS. STACEY SCHREIBER ATC Individual | Specialist | 333 EARLE OVINGTON BLVD SUITE 225 UNIONDALE, NY 11553 (516) 321-2452 |
| 1437141975 | HEALTHPLEX, I.P.A., INC. Organization | Preferred Provider Organization | 333 EARLE OVINGTON BLVD SUITE 300 UNIONDALE, NY 11553 (516) 542-2200 |
| 1821126251 | HEALTHPLEX OF NJ, INC. Organization | Preferred Provider Organization | 333 EARLE OVINGTON BLVD SUITE 300 UNIONDALE, NY 11553 (516) 542-2200 |
| 1497780886 | DR. WILLIAM W BRINER JR. MD Individual | Neuromusculoskeletal Medicine, Sports Medicine | 333 EARLE OVINGTON BLVD SUITE 106 UNIONDALE, NY 11553 (516) 222-8881 |
| 1194888297 | DR. JOSHUA SCOTT DINES MD Individual | Orthopaedic Surgery | 333 EARLE OVINGTON BLVD STE 106 UNIONDALE, NY 11553 (516) 482-1037 |
| 1912207648 | ELAINE MARY WALSH ANP-BC Individual | Nurse Practitioner (Adult Health) | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (516) 941-2039 |
| 1467965095 | MELISSA PEI-LIH JACCOM PA-C Individual | Orthopaedic Surgery (Sports Medicine) | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (516) 222-8881 |
| 1922114610 | DR. STEPHEN GEIGER M.D. Individual | Physical Medicine & Rehabilitation | 333 EARLE OVINGTON BLVD SUITE 106 UNIONDALE, NY 11553 (516) 222-6824 |
| 1922627397 | MATTHEW EDWARD SIKINA MD Individual | Emergency Medicine (Sports Medicine) | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (516) 743-3596 |
| 1952568339 | DR. EFSTATHIA TZATHA Individual | Psychiatry & Neurology (Neurology) | 333 EARLE OVINGTON BLVD UNIONDALE, NY 11553 (212) 743-3528 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205944824, enumerated in the NPI registry as an "individual" on August 25, 2006
The provider is located at 333 Earle Ovington Blvd Omni Building Uniondale, Ny 11553 and the phone number is (516) 357-8208
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $83.44 and an average copayment of 20.86. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
No, the provider signed an affidavit on July 01, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.
This NPI record was last updated on August 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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