Michael D. Kelley, PA
NPI 1043284698ActiveIndividual· Physician Assistant· Kettering, OH
Physician Assistant (PA) with Kettering Independent Medical Group Inc and 2 other groups, practicing in Kettering, Ohio. Mostly services rather than prescriptions: Medicare paid $134,219 for 718 patients in 2024, with only 12 Part D claims. Lists Fort Hamilton Hughes Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1043284698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 13, 2006 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50003217 | OH |
| Physician Assistant, Surgical | 363AS0400X | 50003217 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 718 |
|---|---|
| Services billed | 2,628 across 10 procedure codes |
| Paid by Medicare | $134,219 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 13 30-day fills |
|---|---|
| Total drug cost | $827.69 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
- Ryan Hinman MD LLCKettering, OH · 3 clinicians
- Mark F Shoreman MDKettering, OH · 3 clinicians
Hospital affiliations
- Fort Hamilton Hughes Memorial HospitalHamilton, OH
- Kettering Health DaytonDayton, OH
- Kettering Health Main CampusKettering, OH
- Kettering Health MiamisburgMiamisburg, OH
- Miami Valley HospitalDayton, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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