Doctor profile · Federal record
Dr. Kellyanna Moore, MD
Family Medicine Physician · Owatonna, MN
- NPI 1538120746
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2200 Nw 26Th St
Owatonna, MN 550605503
(507) 451-1120
fax (507) 444-6287
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- October 25, 2024
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Minnesota #44578
- Medicaid
- MN #854628200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538120746. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
901
Distinct HCPCS
10
Medicare allowed
$50,543
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 410 | 69 | $7 | |
17000 |
Destruction of precancer skin growth, 1 growth | 92 | 78 | $57 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 84 | 77 | $127 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 47 | 42 | $90 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 42 | 37 | $174 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 37 | 37 | $129 | |
G0008 |
Administration of influenza virus vaccine | 33 | 33 | $13 | |
17110 |
Destruction of skin growth, 1-14 growths | 30 | 28 | $112 | |
90662 |
Influenza vaccine split virus, preservative free | 28 | 28 | $71 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 27 | 27 | $24 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 58. This provider delivers 16× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,028
Patients
349
Total drug cost
$58,106
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 117 | 37 | $1,217 |
| Atorvastatin Calcium | Generic | 108 | 37 | $1,950 |
| Rosuvastatin Calcium | Generic | 107 | 34 | $3,027 |
| Simvastatin | Generic | 90 | 26 | $968 |
| Levothyroxine Sodium | Generic | 80 | 26 | $1,481 |
| Alendronate Sodium | Generic | 75 | 24 | $1,219 |
| Metoprolol Succinate | Generic | 68 | 23 | $1,159 |
| Losartan Potassium | Generic | 63 | 20 | $1,150 |
| Omeprazole | Generic | 56 | 17 | $531 |
| Trazodone Hcl | Generic | 52 | 17 | $581 |
Frequently asked questions
What is Dr. Kellyanna Moore's medical specialty?
Dr. Kellyanna Moore practices Family Medicine Physician in Owatonna, MN.
Where does Dr. Kellyanna Moore practice?
Dr. Kellyanna Moore practices at 2200 Nw 26Th St, Owatonna, MN 550605503. Office phone: 5074511120.
What is Dr. Kellyanna Moore's NPI?
Dr. Kellyanna Moore's National Provider Identifier (NPI) is 1538120746, issued by NPPES.
What procedures does Dr. Kellyanna Moore commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Destruction of precancer skin growth, 1 growth (HCPCS 17000); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.