Mick Kelly, MD
NPI 1053793208ActiveIndividual· Orthopaedic Surgery· Pewaukee, WI
Orthopaedic Surgery (MD) in Pewaukee, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2015). 327 Medicare patients in 2024, $164,215 paid; nearly all of their 605 Part D prescriptions were generic (98%). Medacta USA, Inc. was the largest of 3 companies reporting payments in 2025, $8,463 in all, mostly consulting fees.
Overview
| NPI | 1053793208 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 24, 2015 |
| Last updated in NPPES | Dec 14, 2021 |
| Certified by provider | Dec 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 75716 | WI |
| Orthopaedic Surgery | 207X00000X | 125066593 | IL |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 11729390-1205 | UT |
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 - Orthopedic Surgery (UT); Practitioner - Orthopedic Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 327 |
|---|---|
| Services billed | 7,207 across 45 procedure codes |
| Paid by Medicare | $164,215 |
Part D prescriptions in 2024
| Prescriptions (claims) | 605 · 631 30-day fills |
|---|---|
| Patients | 279 |
| Total drug cost | $7,444 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Orthopaedic Associates of Wisconsin SCPewaukee, WI · 109 clinicians
Hospital affiliations
- Oconomowoc Memorial HospitalOconomowoc, WI
- Waukesha Memorial HospitalWaukesha, WI
Other facilities
- Prohealth Home CareHome health agency · Waukesha, WI
Industry payments (Open Payments)
- 2025$8,463 · 9 payments from 3 companies
- 2024$9,954 · 22 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medacta USA, Inc. | $8,201 | 6 |
| Stryker Corporation | $207.57 | 2 |
| Depuy Synthes Sales Inc. | $55.04 | 1 |
What the 2025 payments were for
- Consulting Fee$7,800 · 2 payments
- Food and Beverage$663.27 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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