Kelly Gully, PA-C
NPI 1063659878 · Physician Assistant · College Station, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Gully, PA-C is a Physician Assistant provider in College Station, TX (NPI 1063659878).
Provider details
- NPI number
- 1063659878
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA06059 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
283 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Foot, Minimum of 3 Views73630 | 57 | $27 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 37 | $74 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 30 | $161 |
| Application of Walking Cast Covering Below Knee to Toe29425 | 27 | $59 |
| Cast Supplies, Short Leg Cast, Adult (11 Years +), FiberglassQ4038 | 26 | $39 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 32 | 15 |
| Tramadol Hcl | 23 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-15
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Kelly Gully's NPI number?
- Kelly Gully's National Provider Identifier (NPI) is 1063659878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Gully's specialty?
- Kelly Gully is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Gully located?
- Kelly Gully's practice location on file with NPPES is 800 Scott and White Dr, College Station, TX 77845-6440.
- What is Kelly Gully's phone number?
- The practice phone number listed in the NPPES registry for Kelly Gully is (979) 207-4000.
- Does Kelly Gully accept Medicare?
- Kelly Gully is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Gully's NPI active?
- Yes — Kelly Gully's NPI (1063659878) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.