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Active NPI 1053793208 Individual Practitioner Male Practitioner

Dr. Mick Kelly , MD

Orthopaedic Surgery • Pewaukee, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mick Kelly, MD is a certified Orthopaedic Surgery practicing in Pewaukee, WI. With approximately 11 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2015, Dr. Kelly delivers high-quality medical care to the local community at N15W28300 GOLF RD.

Dr. Kelly is affiliated with Orthopaedic Associates Of Wisconsin Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Telephone 2623035055
Fax 2623035057
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Pewaukee, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -12.7 yrs vs City Avg
City Avg: 23.7 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Pewaukee, WI (688 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (11 Years) 11 Yrs
Pewaukee Specialty Average (23.7 Years) 23.7 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
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
4,125 37 $20.00 $7.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
784 68 $3.00 $1.00
20610 Aspiration and/or injection of fluid from large joint
249 121 $404.54 $69.20
99213 Established patient office or other outpatient visit, typically 15 minutes
204 154 $207.70 $84.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
190 36 $10.40 $6.65
73502 X-ray of hip, 2-3 views
131 92 $161.68 $43.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
117 102 $304.36 $119.55
73564 X-ray of knee, 4 or more views
111 106 $221.98 $58.85
73562 X-ray of knee, 3 views
85 68 $152.24 $39.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
47 47 $458.30 $156.27
27447 Replacement of knee joint, both sides of knee
33 30 $8503.94 $1152.19
27130 Replacement of thigh bone and hip joint with prosthesis
28 27 $8515.36 $1152.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $296.80 $103.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes
19 17 $110.00 $45.52
73523 X-ray of both hips, minimum of 5 views
14 14 $218.57 $58.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $140.00 $52.73

Medical Specialties & State Licenses

CMS Verified: 2021-12-14
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 75716

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 125066593

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License UT 11729390-1205

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Hospital & Practice Group Affiliations

Orthopaedic Associates Of Wisconsin Sc

N15w28300 Golf Rd, Pewaukee, WI 530724800

Phone: 2623035055

Secondary Practice Locations

590 S Wakara Way

Salt Lake City, UT 841081200

Phone: 8015875400

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1053033258

Doctor of Physical Therapy

Dr. William Davies , MD

Orthopaedic Surgery

NPI 1104809458

Doctor of Medicine (M.D.)

Dr. Paul Johnson , MD

Orthopaedic Surgery

NPI 1124381710

Doctor of Medicine (M.D.)

Dr. Annika Haley , DPT

Physical Therapist

NPI 1124782818

Doctor of Physical Therapy

Nina Jankins , PTA

Physical Therapy Assistant

NPI 1124914395

Physical Therapist Assistant

Joshua Orne , APNP

Nurse Practitioner

NPI 1144087628

Advanced Practice Nurse Prescriber

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) December 14, 2021

Orthopaedic Surgery (License #125066593 in IL)

📍
Updated Practice Location July 27, 2021

Registered at N15W28300 GOLF RD, PEWAUKEE, WI 530724800 (Tel: 2623035055)

📍
Updated Business Mailing Address July 27, 2021

Registered at N15W28300 GOLF RD, PEWAUKEE, WI 530724800 (Tel: 2623035055)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2021

Orthopaedic Surgery (License #75716 in WI)

📍
Updated Practice Location June 02, 2020

Registered at 590 S WAKARA WAY, SALT LAKE CITY, UT 841081200 (Tel: 8015875400)

📍
Updated Business Mailing Address June 02, 2020

Registered at 590 S WAKARA WAY, SALT LAKE CITY, UT 841081200 (Tel: 8015875400)

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2015

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 3129425850)

📍
Updated Business Mailing Address June 24, 2015

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 3129425850)

👤
Provider Name / Credentials Updated June 24, 2015

Recorded as MICK KELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Orthopaedic Surgery (License #125066593 in IL)

🟢
Initial NPI Registration & Enumeration June 24, 2015

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: 1053793208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2015
Last Update: December 14, 2021
Sole Proprietor: No

Mailing Address

N15w28300 Golf Rd

Pewaukee, WI 530724800

Phone: 2623035055

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.