Active NPI 1356325062 Individual Practitioner Male Practitioner

Dr. John J Kelly , MD

Surgery • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Kelly, MD is a certified Surgery practicing in Worcester, MA. With approximately 34 years of clinical experience since graduating from University Of Massachusetts Medical School in 1992, Dr. Kelly delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Kelly is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Surgery

Worcester, MA 016550002

Telephone 5083340545

Fax 5083347070

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +10.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Worcester, MA (1077 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (34 Years) 34 Yrs

Worcester Specialty Average (23.4 Years) 23.4 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	51	47	$300.00	$64.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$359.00	$80.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$450.00	$129.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$445.00	$96.34
49650 Repair of groin hernia using an endoscope	14	14	$2206.36	$478.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$547.00	$125.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$290.67	$66.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$178.00	$36.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$359.00	$84.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$399.13	$99.42
49650 Repair of groin hernia using an endoscope	12	12	$1968.42	$462.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	50	$244.00	$66.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$359.00	$86.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$359.00	$101.85
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$160.00	$37.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$178.00	$37.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$667.00	$204.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$240.56	$70.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$358.23	$84.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$144.73	$37.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$447.39	$141.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$653.88	$208.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$232.25	$74.55
49650 Repair of groin hernia using an endoscope	12	12	$2271.25	$488.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$541.73	$142.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$214.00	$54.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$349.00	$80.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$316.00	$83.87
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$257.40	$54.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$597.00	$214.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$212.91	$53.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$142.91	$26.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$347.55	$79.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$312.00	$82.44
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$5910.00	$1102.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	90	$199.00	$52.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$342.00	$79.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$210.00	$75.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	15	$566.00	$210.80
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$5910.00	$1102.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$479.00	$134.43
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	12	12	$7919.00	$1849.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	66	$199.00	$51.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$338.62	$78.20

Medical Specialties & State Licenses

CMS Verified: 2020-11-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 150776

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110058841A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

378 Plantation St, Worcester, MA 016052324

Phone: 5083341000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Robin Mason , NP

Nurse Practitioner

NPI 1033185590

Nurse Practitioner

Reeti Sheoran , NP

Nurse Practitioner

NPI 1053706465

Nurse Practitioner

Dr. John Kelly , MD

Surgery

NPI 1235592882

Doctor of Medicine (M.D.)

Dr. Nicole Cherng , MD

Surgery

NPI 1366860892

Doctor of Medicine (M.D.)

Robert Benjamin

Surgery

NPI 1528645561

Joanne Lewis , NP

Nurse Practitioner

NPI 1578752630

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 25, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

📍

Updated Practice Location April 25, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 016550002 (Tel: 5083340545)

👤

Provider Name / Credentials Updated April 25, 2017

Recorded as JOHN KELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Surgery (License #150776 in MA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 016550002 (Tel: 5083345491)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 015450062 (Tel: 5083348815)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #150776 in MA)

🟢

Initial NPI Registration & Enumeration December 06, 2005

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: 1356325062

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: November 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.