Roderick Kelly, PA
NPI 1275637472ActiveIndividual· Physician Assistant· Fort Polk, LA
Physician Assistant (PA) with Concord Medical Group of Texas PLLC and 3 other groups, practicing in Fort Polk, Louisiana. 222 Medicare patients in 2024, $16,919 paid; nearly all of their 540 Part D prescriptions were generic (97%). Axsome Therapeutics, Inc. reported $18.75 in payments in 2025, mostly food and beverage. Lists Anson General Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1275637472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 11, 2006 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA02232 | TX |
| Physician Assistant | 363A00000X | PA200615 | LA |
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 - Physician Assistant (LA); Practitioner - Physician Assistant (NE); Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 222 |
|---|---|
| Services billed | 240 across 19 procedure codes |
| Paid by Medicare | $16,919 |
Part D prescriptions in 2024
| Prescriptions (claims) | 540 · 548 30-day fills |
|---|---|
| Patients | 379 |
| Total drug cost | $5,131 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Concord Medical Group of Texas PLLCBreckenridge, TX · 321 clinicians
- Concord Medical Group PLLCTulia, TX · 180 clinicians
- Arklatex Medical Consultants A Medical CorporationShreveport, LA · 17 clinicians
- Ward 3 4 and 10 Hospital Service District of Parish of UnionBernice, LA · 13 clinicians
Hospital affiliations
- Anson General HospitalAnson, TX
- Beauregard Memorial HospitalDeridder, LA
- Brownfield Regional Medical CenterBrownfield, TX
- Fmol Health St FrancisMonroe, LA
- Knox County HospitalKnox City, TX
Industry payments (Open Payments)
- 2025$18.75 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $18.75 | 1 |
What the 2025 payments were for
- Food and Beverage$18.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fort Polk
- 1326198698
- 1053477950
- 1134414659
- 1457414575
- 1609268218
- 1255986097
- 1639144389
- 1760820617
- 1871554188
- 1558335497
- 1922429042
- 1316051964