Edward A. Kelly Jr., M.D.
NPI 1235122300ActiveIndividual· Family Medicine· Downingtown, PA
Family Medicine (M.D.) in Downingtown, Pennsylvania, trained at Jefferson Medical College of Thomas Jefferson University (class of 1973). Their prescriptions cost Medicare Part D more than their services did: $1,158,718 for 10,534 claims, against $89,348 paid for services in 2024. Lilly USA, LLC was the largest of 18 companies reporting payments in 2025, $1,259 in all, mostly food and beverage.
Overview
| NPI | 1235122300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 24, 2005 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD017677E | 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 | 230 |
|---|---|
| Services billed | 1,564 across 40 procedure codes |
| Paid by Medicare | $89,348 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,534 · 17,141 30-day fills |
|---|---|
| Patients | 466 |
| Total drug cost | $1,158,718 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Jefferson Medical College of Thomas Jefferson University |
|---|---|
| Graduation year | 1973 |
| Medicare specialty | Family Practice |
Medical group
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
Hospital affiliations
- Chester County HospitalWest Chester, PA
- Hospital of Univ of PennsylvaniaPhiladelphia, PA
- Paoli HospitalPaoli, PA
Other facilities
- Penn Medicine Home HealthHome health agency · Bala Cynwyd, PA
- St Martha Center for Rehabilitation & HealthcareNursing home · Downingtown, PA
Industry payments (Open Payments)
- 2025$1,259 · 72 payments from 18 companies
- 2024$1,250 · 74 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $177.33 | 11 |
| Glaxosmithkline, LLC. | $166.90 | 9 |
| Novo Nordisk Inc | $165.10 | 9 |
| Abbvie Inc. | $161.64 | 10 |
| Astrazeneca Pharmaceuticals LP | $143.97 | 12 |
What the 2025 payments were for
- Food and Beverage$1,259 · 72 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 family medicine physicians in Downingtown · All family medicine physicians in Pennsylvania