Kellyrose Mary Nichols, D.O.
NPI 1013274638ActiveIndividual· Family Medicine· Le Roy, NY
Family Medicine (D.O.) in Le Roy, New York, trained at Philadelphia College of Osteopathic Medicine (class of 2012). Their prescriptions cost Medicare Part D more than their services did: $809,018 for 9,662 claims, against $16,598 paid for services in 2024.
Overview
| NPI | 1013274638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 20, 2012 |
| Last updated in NPPES | Jun 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 279405 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 271 across 14 procedure codes |
| Paid by Medicare | $16,598 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,662 · 18,761 30-day fills |
|---|---|
| Patients | 739 |
| Total drug cost | $809,018 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Family Practice |
Medical group
- University of RochesterRochester, NY · 973 clinicians
Hospital affiliation
- Strong Memorial HospitalRochester, NY
Other facilities
- Vna of Western Ny ChhaHome health agency · Cheektowaga, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Le Roy
- 1679986681
- 1922144328
- 1750951687
- 1285736066
- 1467711135
- 1114306701