What is James Kelly's specialty?

James Kelly (NPI 1013908979) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in San Francisco, CA.

Where does James Kelly practice?

James Kelly practices in San Francisco, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1013908979.

How much does Medicare pay James Kelly?

James Kelly (NPI 1013908979) received approximately $260K in total Medicare Part B payments, serving 559 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1013908979

James KellyMD

PRACTICEMARK A. SCHRUMPF MD A PROFESSIONAL CORPORATIONSee all providers at this practice →

Orthopedic SurgerySan Francisco, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,584

Unique beneficiaries

—

Total services

2,591

Distinct HCPCS

Medicare payment

$225K

Peer benchmark

Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — top quintile (cohort median 1,100).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

83.8

Quality

90.5

Cost

75.6

Improvement activities

40.0

Promoting interop.

76.0

Payment adjustment

0.37%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$12K

Payment records

By payment type

Consulting Fee$8K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$903

Top paying entities

Consulting Fee$8K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$903

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where James Kelly's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 11 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CASAGRANDE, DANIELLE	22	37
MARIN GENERAL HOSPITAL	13	32

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SUTTER BAY HOSPITALS	104	438
CASAGRANDE, DANIELLE	32	125
Samuel Harmsen Orthopedic Surgery · Phoenix, AZ	19	71
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	17	32
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	16	41
Presidio Surgery Center, Llc Ambulatory Surgical Center · San Francisco, CA	16	46
MARIN GENERAL HOSPITAL	15	29
OSHITA, ALLEN	12	27
Unilab Corporation Clinical Laboratory · Sacramento, CA	12	23
William Harvey Diagnostic Radiology · San Francisco, CA	11	28
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC	11	38

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events