John Kelley, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Utica, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,070 in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
What the federal data shows
John Kelley, M.D. reported a CMS MIPS final score of 86.6/100 - above the 83.5 national average - and filed 44 Medicare Part D claims in 2023.
- 86.6/100
- MIPS score · +3 vs avg
- 44
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥49th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1750338745 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1750338745
- ENUM-LEGACY 2006
- TAX-MID 5K Thoracic Surgery
- MIPS-ABOVE 86.6/100
- RX-TRACE 44
- BOOK-THIN 381 in New York
- PHOTO-FINISH Kryston Boyer · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kelley · this pr…
Kelley · this provider
86.6 MIPS pts
- Dermot Halpin · …
Dermot Halpin
86.9 MIPS pts
- Kryston Boyer · …
Kryston Boyer
86.9 MIPS pts
- Shane Yamane · n…
Shane Yamane
86.9 MIPS pts
- Abdulla Attum · …
Abdulla Attum
86.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
John Kelley, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where John Kelley, M.D. sits
This provider among thoracic surgery (cardiothoracic vascular surgery) physician peers
Across the 795 thoracic surgery (cardiothoracic vascular surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Kelley, M.D. writes more Part D claims than 42% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one thoracic surgery (cardiothoracic vascular surgery) physician peer from a representative sample of 60; the gold marker is John Kelley, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
John Kelley, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about John Kelley, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among New York providers
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ranks #118 among New York's specialties (0.1% of in-state providers)
Each bar is a specialty's share of the New York provider total, by primary NUCC taxonomy. The highlighted bar is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
John Kelley, M.D.'s 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average
- MIPS Final Score
- 86.6/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician US NPIs
86.6/100 MIPS final score - 3.1 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Quality dim: 80.1.
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1750338745 |
|---|---|
| Specialty | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/27/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm John Kelley, M.D.'s current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1750338745 is the unique 10-digit identifier CMS uses to link Kelley across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where John Kelley, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for John Kelley, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$349
Largest payer
Medtronic, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to John Kelley, M.D.. To verify John Kelley, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 102
- Total Day Supply
- 2,933
- Generic Drug Cost
- $430
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.25
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview
How John Kelley, M.D. fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.
John Kelley, M.D.'s 44 claims are below the specialty average of 128.
Nationwide Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kelley, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Kelley.
One of 381 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers enrolled in New York, 5 are shown here.
Frequently Asked Questions
What is John Kelley, M.D.'s specialty? ▼
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What is John Kelley, M.D.'s NPI number? ▼
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US? ▼
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Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.
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