2026 NPPES data Surgery Physician NPI 1922115070 M.D.
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MICHAEL KELLY, M.D.

Surgery Physician in KNOXVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
329
Medicare Part D claims · 167 beneficiaries · Surgery Physician avg: 169
MIPS score
82.3437/100
▼ 1 pts below national avg 83.1 · [object Object]
What the federal data reveals: MICHAEL KELLY, M.D. is a Surgery Physician ([object Object]) practicing in KNOXVILLE, Tennessee with a Medicare Part D prescribing footprint of 329 claims across 167 beneficiaries . Their CMS MIPS Final Score of 82.3437/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MICHAEL KELLY, M.D. reported a CMS MIPS final score of 82.3437 out of 100, below the 83.1 national average, and filed 329 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL KELLY, 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).

MICHAEL KELLY, M.D. at a glance

Near national average

NPI registry status

Active

Issued 08/24/2006

NPI 1922115070

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

329 95% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

82.3437/100 0.756299999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Surgery Physician share within Tennessee

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Tennessee

Medicare quality performance — MIPS

MICHAEL KELLY, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
82.3437/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 82.3437/100 vs national avg 83.1

0%100%National avg83%82.3%
MIPS final score (Surgery Physician) — 82.3437/100 vs national avg 83.1

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).

MICHAEL KELLY, M.D. is a Surgery Physician provider practicing in KNOXVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922115070. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL KELLY, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 9430 PARK WEST BLVD STE 310, KNOXVILLE, TN, 37923, with a listed phone of (865) 690-5263. NPI 1922115070 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 329 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 45.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.3437/100 for the 2023 performance year (Quality 77.1485, Cost 70.8919), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9430 PARK WEST BLVD STE 310
KNOXVILLE, TN 37923

Provider Details

NPI 1922115070
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/24/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.3437
Final Score
Avg: 83.1
77.1485
Quality
70.8919
Cost
86
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL KELLY, 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.

PREMIER SURGICAL ASSOCIATES PLLC
KNOXVILLE, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

329
Total Claims
$2K
Total Drug Cost
167
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
329
Total Day Supply
1,363
Generic Drug Cost
$2K
Opioid Claims
150 (45.6% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.21
Gender Split
41% female / 59% male
Age Distribution
<65: 21, 65-74: 86, 75-84: 49, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ondansetron Odt
Ondansetron
144
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
79
Oxycodone Hcl
41
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How MICHAEL KELLY, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

MICHAEL KELLY, M.D.'s 329 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as KELLY.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL KELLY, M.D.'s specialty?
MICHAEL KELLY, M.D. specializes in Surgery Physician and practices in KNOXVILLE, Tennessee. Credentials: M.D..
How much does MICHAEL KELLY, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL KELLY, M.D. wrote 329 Medicare Part D claims totaling $2K in drug costs for 167 beneficiaries.
What is MICHAEL KELLY, M.D.'s Medicare quality score?
MICHAEL KELLY, M.D. has a CMS MIPS Final Score of 82.3437/100 (Quality: 77.1485, Cost: 70.8919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL KELLY, M.D. located?
MICHAEL KELLY, M.D. is located at 9430 PARK WEST BLVD STE 310, KNOXVILLE, TN, 37923. Phone: (865) 690-5263.
What is MICHAEL KELLY, M.D.'s NPI number?
MICHAEL KELLY, M.D.'s National Provider Identifier (NPI) is 1922115070, issued on 08/24/2006.
Does MICHAEL KELLY, M.D. prescribe opioids?
Yes, MICHAEL KELLY, M.D. had 150 opioid claims in 2023 with an opioid prescribing rate of 45.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does MICHAEL KELLY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL KELLY, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Hydrocodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL KELLY, M.D. accept Medicare?
MICHAEL KELLY, M.D. appears in CMS Medicare data with 329 Part D claims and 167 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL KELLY, M.D.'s credentials?
MICHAEL KELLY, M.D.'s NPI is 1922115070 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

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