Active NPI 1538369384 Individual Practitioner Male Practitioner

Dr. Ralph Zane Kelley , DO

Surgery • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Kelley, DO is a certified Surgery practicing in Flagstaff, AZ. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Kelley delivers high-quality medical care to the local community at 77 W FOREST AVE STE 206.

Dr. Kelley maintains professional affiliations with Tuba City Regional Health Care Corporation, Flagstaff Surgical Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

77 W Forest Ave Ste 206

Flagstaff, AZ 860011483

Telephone 2399804302

Fax 9287732598

Associated Practice Facility / Clinic

🏢 Trauma And Acute Care Surgeons Of Northern Arizona Facility NPI 1194006577

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +8.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

15 Specialists

Practicing in Flagstaff, AZ (801 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelley (26 Years) 26 Yrs

Flagstaff Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	62	$118.21	$63.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$74.83	$33.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$374.04	$124.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$93.08	$47.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$557.00	$165.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	17	$262.11	$93.29
45380 Biopsy of large bowel using an endoscope	18	17	$391.94	$170.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	78	$90.96	$63.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$557.00	$168.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$137.22	$80.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$379.00	$126.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$216.76	$105.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$130.42	$94.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	53	$91.05	$63.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$139.40	$95.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$199.00	$68.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	19	$215.00	$100.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$379.00	$130.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$72.17	$37.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$557.00	$191.62
45380 Biopsy of large bowel using an endoscope	13	12	$310.00	$195.01
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$285.00	$179.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$135.00	$81.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	42	$134.91	$98.25
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$85.57	$63.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$76.11	$37.64
45380 Biopsy of large bowel using an endoscope	15	15	$310.00	$174.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$557.00	$196.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	43	$45.00	$25.74
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$90.00	$51.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	16	$269.00	$103.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$498.80	$201.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$215.00	$99.61
45380 Biopsy of large bowel using an endoscope	11	11	$310.00	$202.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	59	$45.00	$25.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	29	$186.90	$71.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	29	$289.44	$102.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$535.85	$199.11
99291 Critical care, first 30-74 minutes	27	15	$924.30	$219.22
45380 Biopsy of large bowel using an endoscope	23	21	$310.00	$195.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	13	$215.00	$105.39
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$285.00	$187.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	60	$45.00	$25.08
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$90.00	$50.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$135.00	$75.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	34	$63.21	$23.84
88305 Pathology examination of tissue using a microscope, intermediate complexity	32	13	$317.68	$39.83
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$101.25	$47.73
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$87.35	$47.48
45378 Diagnostic exam of large bowel using a flexible endoscope	13	12	$1173.10	$172.57

Medical Specialties & State Licenses

CMS Verified: 2020-04-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 005754

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NV DO1481

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

540447 (AZ)

Commercial Insurance / Payer ID Uhc

1538369384 (AZ)

Commercial Insurance / Payer ID Bcbs

1538369384 (AZ)

Commercial Insurance / Payer ID Cigna

3218514 (AZ)

Hospital & Practice Group Affiliations

Tuba City Regional Health Care Corporation

167 Main St, Tuba City, AZ 860450600

Phone: 9282832501

Flagstaff Surgical Associates Pa

77 W Forest Ave, Flagstaff, AZ 860011483

Phone: 9287732222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Daniel Wesche , MD

Surgery

NPI 1013985191

Doctor of Medicine (M.D.)

Dr. Kate Preston , MD

Surgery

NPI 1265692982

Doctor of Medicine (M.D.)

Dr. Sarah Sohail , MD

Surgery

NPI 1326537507

Doctor of Medicine (M.D.)

Dr. John Stupinski , MD

Surgery

NPI 1376070953

Doctor of Medicine (M.D.)

Dr. Alexander Lund , DO

Otolaryngology

NPI 1376819417

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Berger , MD

Surgery

NPI 1417926874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2020

Surgery (License #DO1481 in NV)

✅

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2017

Registered at 77 W FOREST AVE STE 206, FLAGSTAFF, AZ 860011483 (Tel: 2399804302)

📍

Updated Business Mailing Address February 24, 2017

Registered at PO BOX 600, TUBA CITY, AZ 860450600 (Tel: 9282832501)

👤

Provider Name / Credentials Updated February 24, 2017

Recorded as RALPH KELLEY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Surgery (License #005754 in AZ)

✅

NPI Profile Active July 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2011

Registered at 167 NORTH MAIN STREET, TUBA CITY, AZ 860450600 (Tel: 9282832501)

📍

Updated Business Mailing Address July 21, 2011

Registered at PO BOX 600, TUBA CITY, AZ 860450600 (Tel: 9282832501)

👤

Provider Name / Credentials Updated July 21, 2011

Recorded as RALPH KELLEY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Surgery (License #DO1481 in NV)

🟢

Initial NPI Registration & Enumeration July 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538369384

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2007

Last Update: April 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 600

Tuba City, AZ 860450600

Phone: 9282832501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.