Matthew Kelley, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D87596 Issued in MD

Practice address

41 Medical Village Dr
Newport, VT 05855-9835

Phone

(802) 334-3500

NPI assigned

Apr 7, 2014

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Medicare reassignment NPD
• North Country Hospital & Health Center Inc

  dba North Country Surgical Associates

  • Surgery Physician
  • Newport, VT
  • NPI 1679551238
  Medicare reassignment NPD
• North Country Hospital & Health Center Inc

  dba North Country Primary Care Barton Orleans

  • Rural Health Clinic/Center
  • Barton, VT
  • NPI 1104868892
  NPD
• North Country Hospital & Health Center Inc

  dba North Country OB GYN Services

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  NPD
• North Country Hospital & Health Center Inc

  dba North Country Primary Care Newport

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  dba MHMH Regional Services

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1417376476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD UNIT 87",
            "city": "BROOKLANDVILLE",
            "state": "MD",
            "postal_code": "210227504",
            "fax_number": "410-261-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E University Pkwy",
            "address_2": "Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182829",
            "country_code": "US",
            "telephone_number": "410-554-2782",
            "fax_number": "410-261-8085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D87596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.kelley.1@15991.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "41 Medical Village Dr",
            "city": "Newport",
            "state": "VT",
            "country_code": "US",
            "postal_code": "058559835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul M Julien, MD
• Elliot Martin Kaufman, MD
• Kassidee Tabor Keefe, MS
• Keene Medical Products, LLC (AdaptHealth New England)
• Patrick Keith, MD
• Sullivan James Kiley, M.S.
• Kingdom Counseling LLC
• Roderic R Knights Jr., LICSW
• KPH Healthcare Services, Inc. (Kinney Drugs #58)
• Joseph Kress, MA, LCMHC, LADC

• Surgery Physician in Newport, VT
• Providers in Newport, VT by specialty
• Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.