Individual provider Active NPI

Gregory E Kellam, MD

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1548373343
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37658 Issued in CO
Practice address
2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone
(970) 243-9000
Fax
(970) 245-4936
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 37658 CO Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027

Mailing address

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone (970) 243-9000

Other practice location 1

1000 Wellington Ave
Grand Junction, CO 81501
Phone (970) 243-9000

Other identifiers 1

IdentifierTypeStateIssuer
49109561MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20091201000141 CO Practitioner - Ophthalmology 1355437211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Rockies Eye Center PCGroup PAC ID 4183513757, 3 clinicians

Practice addresses (Care Compare)

2460 Patterson Rd
Unit 2
Grand Junction, CO 81505-1027
Phone (970) 243-9000

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
85.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37658COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Rockies Eye Center PC Ophthalmology CurrentSince Apr 26, 1999 Accepting new patients

Locations

1000 Wellington Ave
Grand Junction, CO 81501
Phone (970) 243-9000

2460 Patterson Rd
Unit 2
Grand Junction, CO 81505
Phone (970) 243-9000

471 S Main St
Moab, UT 84532
Phone (970) 243-9000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548373343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "81501",
            "country_code": "US",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "37658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49109561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.