Mark C. Kelley, DO
NPI 1427004704ActiveIndividual· Dermatology· Grenada, MS
Dermatology (DO) in Grenada, Mississippi, licensed in MS, with an NPI issued in May 2006. Part D covered 64 prescriptions written in 2024, 94% of them generic.
Overview
| NPI | 1427004704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Apr 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 16693 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MS) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 64 · 64 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $654.20 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in Grenada
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