Michael Timothy Kelley, M.S. PA-C
NPI 1073571816ActiveIndividual· Physician Assistant, Surgical· Tempe, AZ
Physician Assistant, Surgical (M.S. PA-C) with Smi Imaging LLC and 4 other groups, practicing in Tempe, Arizona. 41 Medicare patients in 2024, $42,307 paid; nearly all of their 125 Part D prescriptions were generic (95%). Bioventus LLC was the largest of 3 companies reporting payments in 2025, $101.73 in all, mostly food and beverage.
Overview
| NPI | 1073571816 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. PA-C |
| Sole proprietor | No |
| NPI issued | May 2, 2006 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | AZ3829 | AZ |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 1,716 across 24 procedure codes |
| Paid by Medicare | $42,307 |
Part D prescriptions in 2024
| Prescriptions (claims) | 125 · 147 30-day fills |
|---|---|
| Patients | 53 |
| Total drug cost | $5,816 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Smi Imaging LLCBeverly Hills, CA · 384 clinicians
- I Am Wellness Az LLCPhoenix, AZ · 40 clinicians
- Progressive Pain Management IncCasa Grande, AZ · 37 clinicians
- Hope Diabetes Center LLCMesa, AZ · 26 clinicians
- Arizona Bone Joint and Sports Medicine CenterPhoenix, AZ · 3 clinicians
Industry payments (Open Payments)
- 2025$101.73 · 4 payments from 3 companies
- 2024$21.62 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bioventus LLC | $56.60 | 2 |
| Vertex Pharmaceuticals Incorporated | $24.22 | 1 |
| Novo Nordisk Inc | $20.91 | 1 |
What the 2025 payments were for
- Food and Beverage$101.73 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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