Derek Kelly, MD
NPI 1407989106 · Family Medicine Physician · Evanston, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Kelly, MD is a Family Medicine Physician provider in Evanston, IL (NPI 1407989106).
Provider details
- NPI number
- 1407989106
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036063365 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,379 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 397 | $187 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 243 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 222 | $132 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 162 | $122 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 139 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 71 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 337 | 78 |
| Lisinopril | 252 | 57 |
| Metformin Hcl | 242 | 60 |
| Amlodipine Besylate | 185 | 46 |
| Metoprolol Succinate | 168 | 44 |
| Metoprolol Tartrate | 158 | 41 |
| Simvastatin | 148 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Derek Kelly's NPI number?
- Derek Kelly's National Provider Identifier (NPI) is 1407989106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Kelly's specialty?
- Derek Kelly is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Kelly located?
- Derek Kelly's practice location on file with NPPES is 800 Austin St Ste 157, Evanston, IL 60202-3452.
- What is Derek Kelly's phone number?
- The practice phone number listed in the NPPES registry for Derek Kelly is (773) 293-3510.
- Does Derek Kelly accept Medicare?
- Derek Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Kelly's NPI active?
- Yes — Derek Kelly's NPI (1407989106) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.