Roderick Kelly, PA
NPI 1275637472 · Physician Assistant · Fort Polk, LA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roderick Kelly, PA is a Physician Assistant provider in Fort Polk, LA (NPI 1275637472).
Provider details
- NPI number
- 1275637472
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA200615 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
207 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 66 | $141 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 51 | $101 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $54 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 25 | $80 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 18 | $67 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 69 | 67 |
| Cephalexin | 57 | 56 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 35 | 34 |
| Azithromycin | 31 | 31 |
| Amoxicillin | 26 | 26 |
| Prednisone | 24 | 24 |
| Ondansetron Hcl | 20 | 20 |
Practice location
Mailing address
Additional practice locations (3)
- 1549 E 70th St Ste 300Shreveport, LA 71105-5056Phone: (318) 300-3898Fax: (318) 797-4241
- 1509 W Loop 281Suite 2-BLongview, TX 75604-2820Phone: (903) 759-9355
- 800 E Dawson StTyler, TX 75701-2036Phone: (903) 606-4262
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Roderick Kelly's NPI number?
- Roderick Kelly's National Provider Identifier (NPI) is 1275637472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roderick Kelly's specialty?
- Roderick Kelly is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roderick Kelly located?
- Roderick Kelly's practice location on file with NPPES is 1585 3rd St, Fort Polk, LA 71459-5102.
- What is Roderick Kelly's phone number?
- The practice phone number listed in the NPPES registry for Roderick Kelly is (337) 531-3011.
- Does Roderick Kelly accept Medicare?
- Roderick Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roderick Kelly's NPI active?
- Yes — Roderick Kelly's NPI (1275637472) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.