Jacqueline Kelly, M.D.
NPI 1104169283ActiveIndividual· Internal Medicine· Boise, ID
Internal Medicine (M.D.) with Permanente Medical Group Inc, practicing in Boise, Idaho. Their prescriptions cost Medicare Part D more than their services did: $8,892 for 194 claims, against $1,163 paid for services in 2024. Beone Medicines USA, Inc. reported $36.41 in payments in 2025, mostly food and beverage. Lists Kaiser Foundation Hospital-Santa Rosa as a hospital affiliation.
Overview
| NPI | 1104169283 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 27, 2013 |
| Last updated in NPPES | Dec 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MRM-1350 | ID |
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 - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 17 across 3 procedure codes |
| Paid by Medicare | $1,163 |
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 275 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $8,892 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Hospital affiliation
- Kaiser Foundation Hospital-Santa RosaSanta Rosa, CA
Industry payments (Open Payments)
- 2025$36.41 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Beone Medicines USA, Inc. | $36.41 | 2 |
What the 2025 payments were for
- Food and Beverage$36.41 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 221 internal medicine physicians in Boise · All internal medicine physicians in Idaho