Active NPI 1750488359 Individual Practitioner Male Practitioner

Dr. Robert B Kelly , MD

Emergency Medicine • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Robert Kelly, MD is a registered healthcare professional specializing in Emergency Medicine in Salem, OR. Practice services are available at 665 WINTER ST SE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

665 Winter St Se

Salem, OR 973013919

Telephone 5035615634

Associated Practice Facility / Clinic

🏢 Emergency & Acute Care Medical Company - Oregon Facility NPI 1124078233

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Salem, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.6 Yrs

State Avg: 18.4 Yrs

Regional Practice Density

46 Specialists

Practicing in Salem, OR (1105 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity	88	87	$862.00	$164.44
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	46	$38.00	$7.68
99284 Emergency department visit with moderate level of medical decision making	50	48	$592.00	$110.09
99291 Critical care, first 30-74 minutes	26	26	$1086.00	$200.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	54	$858.00	$165.91
99285 Emergency department visit for life threatening or functioning severity	48	48	$862.00	$167.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	46	$38.00	$7.79
99291 Critical care, first 30-74 minutes	43	43	$1086.00	$203.06
99284 Emergency department visit with moderate level of medical decision making	36	36	$592.00	$113.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	79	79	$590.08	$116.01
99285 Emergency department visit for life threatening or functioning severity	78	77	$858.08	$167.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	77	73	$38.00	$7.95
99291 Critical care, first 30-74 minutes	48	48	$1086.00	$203.46
99283 Emergency department visit with low level of medical decision making	28	28	$347.32	$68.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	86	85	$845.00	$172.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	68	67	$38.00	$8.10
99284 Emergency department visit with moderate level of medical decision making	68	66	$573.00	$118.49
99291 Critical care, first 30-74 minutes	38	38	$1086.00	$211.59
99283 Emergency department visit with low level of medical decision making	15	15	$302.00	$69.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	104	103	$845.00	$168.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	87	81	$38.00	$8.23
99284 Emergency department visit with moderate level of medical decision making	66	65	$573.00	$117.45
99291 Critical care, first 30-74 minutes	61	61	$1086.00	$214.09
99292 Critical care, each additional 30 minutes	21	15	$545.00	$109.88
99283 Emergency department visit with low level of medical decision making	19	19	$302.00	$64.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	85	85	$845.00	$168.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	78	71	$38.00	$8.36
99284 Emergency department visit with moderate level of medical decision making	70	69	$573.00	$114.32
99283 Emergency department visit with low level of medical decision making	35	35	$302.00	$60.90
99291 Critical care, first 30-74 minutes	33	32	$1086.00	$218.21
99292 Critical care, each additional 30 minutes	25	15	$545.00	$109.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	120	117	$834.87	$169.71
99284 Emergency department visit with moderate level of medical decision making	94	92	$569.13	$114.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	82	79	$38.00	$8.35
99283 Emergency department visit with low level of medical decision making	26	26	$302.00	$60.88
99291 Critical care, first 30-74 minutes	24	24	$1074.13	$218.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	127	123	$769.00	$168.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	124	114	$38.00	$8.25
99284 Emergency department visit with moderate level of medical decision making	116	114	$521.00	$114.73
99291 Critical care, first 30-74 minutes	28	28	$991.00	$216.95
99283 Emergency department visit with low level of medical decision making	22	22	$275.00	$60.43
99292 Critical care, each additional 30 minutes	12	12	$493.75	$109.31

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OR MD 20525

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

150504 (OR)

Medicaid State Provider ID

8209959 (WA)

Commercial Insurance / Payer ID Champus

A056

Commercial Insurance / Payer ID Marion Polk Chp

150504

Commercial Insurance / Payer ID Providence

G53960

Commercial Insurance / Payer ID Group Health

G53960

Commercial Insurance / Payer ID Pacific Source

M400721

Practice Associates & Co-Workers

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

28 Associated Practitioners

Dr. Charles Wilson , MD

Emergency Medicine

NPI 1033211339

Doctor of Medicine (M.D.)

Dr. Lazeni Koulibali , DO

Emergency Medicine

NPI 1063429777

Doctor of Osteopathic Medicine (D.O.)

Dr. Trevor Phillips , MD

Emergency Medicine

NPI 1063633360

Doctor of Medicine (M.D.)

Dr. Amanda Johnston , DO

Emergency Medicine

NPI 1063754257

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Barr , MD

Emergency Medicine

NPI 1104039940

Doctor of Medicine (M.D.)

Dr. Audrey Trainer , DO

Emergency Medicine

NPI 1124060306

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2007

Registered at 665 WINTER ST SE, SALEM, OR 973013919 (Tel: 5035615634)

📍

Updated Business Mailing Address December 04, 2007

Registered at PO BOX 2505, SALEM, OR 973082505 (Tel: 8888283198)

👤

Provider Name / Credentials Updated December 04, 2007

Recorded as ROBERT KELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Emergency Medicine (License #MD 20525 in OR)

🟢

Initial NPI Registration & Enumeration September 19, 2006

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: 1750488359

Entity Type:

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

Enumeration Date: September 19, 2006

Last Update: December 04, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2505

Salem, OR 973082505

Phone: 8888283198

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.