Doctor profile · Federal record

Dr. Mark Kelly, M.D

Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Fort Wayne, IN

  • NPI 1639300932
  • Accepts Medicare
  • MIPS 77.2 / 100 · 2023
  • 17 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3707 New Vision Dr
Fort Wayne, IN 468451702
(248) 787-4905

Credentials & registration

NPPES · NUCC
NPI registered
August 2009 — 17 yrs on file
Profile last updated
January 27, 2016
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
Michigan #4301095025

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639300932. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
7,066
Distinct HCPCS
10
Medicare allowed
$245,287
HCPCS Description Services Patients Avg allowed
71045 X-ray of chest, 1 view 918 741 $8
71046 X-ray of chest, 2 views 510 502 $10
74177 Ct scan of abdomen and pelvis with contrast 436 421 $82
70450 Ct scan head or brain without contrast 427 406 $37
74018 X-ray of abdomen, 1 view 301 267 $8
71250 Ct scan of chest without contrast 270 257 $49
71260 Ct scan of chest with contrast 181 174 $50
74176 Ct scan of abdomen and pelvis without contrast 181 177 $79
76770 Complete ultrasound scan behind abdominal cavity 168 163 $33
73630 X-ray of foot, minimum of 3 views 151 146 $9

In context: peer comparison

Among 25 peers in this city , average services per provider: 73. This provider delivers 97× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Kelly's medical specialty?
Dr. Mark Kelly practices Diagnostic Radiology Physician in Fort Wayne, IN.
Where does Dr. Mark Kelly practice?
Dr. Mark Kelly practices at 3707 New Vision Dr, Fort Wayne, IN 468451702. Office phone: 2487874905.
What is Dr. Mark Kelly's NPI?
Dr. Mark Kelly's National Provider Identifier (NPI) is 1639300932, issued by NPPES.
Does Dr. Mark Kelly accept Medicare assignment?
Yes. Dr. Mark Kelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Kelly commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); X-ray of chest, 2 views (HCPCS 71046); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.