James M. Kelly, M.D.
NPI 1104861343ActiveIndividual· Family Medicine· Ephrata, PA
Family Medicine (M.D.) with Lancaster General Medical Group, practicing in Ephrata, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $1,036,235 for 7,161 claims, against $75,708 paid for services in 2024. Lists Lancaster General Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104861343 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2006 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD428418 | PA |
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 - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 1,276 across 50 procedure codes |
| Paid by Medicare | $75,708 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,161 · 16,650 30-day fills |
|---|---|
| Patients | 548 |
| Total drug cost | $1,036,235 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Lancaster General Medical GroupOxford, PA · 586 clinicians
Hospital affiliations
- Lancaster General HospitalLancaster, PA
- Wellspan Ephrata Community HospitalEphrata, PA
Other facilities
- Penn Medicine Home Health Lancaster General HealthHome health agency · Lancaster, PA
- Wellspan Vna Home CareHome health agency · York, PA
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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All 48 family medicine physicians in Ephrata · All family medicine physicians in Pennsylvania