Jeffrey John Kelly, D.O.
NPI 1770565384ActiveIndividual· Dermatology· Traverse City, MI
Dermatology (D.O.) with Associates in Dermatology of Traverse City PC, practicing in Traverse City, Michigan. Their prescriptions cost Medicare Part D more than their services did: $1,440,574 for 1,720 claims, against $161,887 paid for services in 2024. Lists Munson Medical Center as a hospital affiliation.
Overview
| NPI | 1770565384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Nov 18, 2005 |
| Last updated in NPPES | Jul 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 5101020217 | MI |
| Dermatology | 207N00000X | 055534 | GA |
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 - Dermatology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 878 |
|---|---|
| Services billed | 3,942 across 75 procedure codes |
| Paid by Medicare | $161,887 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,720 · 2,295 30-day fills |
|---|---|
| Patients | 622 |
| Total drug cost | $1,440,574 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Dermatology |
Medical group
- Associates in Dermatology of Traverse City PCTraverse City, MI · 6 clinicians
Hospital affiliation
- Munson Medical CenterTraverse City, MI
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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