Doctor profile · Federal record

Dr. Kelly Tanney, PA-C

Physician Assistant · Williamsport, PA

  • NPI 1164072039
  • MIPS 81.5 / 100 · 2023
  • 7 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1100 Grampian Blvd
Williamsport, PA 177011907
(570) 326-8005
fax (570) 326-8006
Mailing address
1201 Grampian Blvd
Williamsport, PA 177011900

Credentials & registration

NPPES · NUCC
NPI registered
September 2019 — 7 yrs on file
Profile last updated
April 5, 2022
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Pennsylvania #MA061065

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164072039. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
11
Distinct HCPCS
1
Medicare allowed
$748
HCPCS Description Services Patients Avg allowed
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 11 11 $68

In context: peer comparison

Among 36 peers in this city , average services per provider: 67. This provider delivers 0.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
218
Patients
202
Total drug cost
$1,077
Drug Type Claims Patients Total cost
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 134 124 $785
Clindamycin Hcl Generic 42 37 $193
Acetaminophen-Codeine (Acetaminophen With Codeine) Brand 26 26 $67
Oxycodone Hcl Generic 16 15 $32

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly Tanney's medical specialty?
Dr. Kelly Tanney practices Physician Assistant in Williamsport, PA.
Where does Dr. Kelly Tanney practice?
Dr. Kelly Tanney practices at 1100 Grampian Blvd, Williamsport, PA 177011907. Office phone: 5703268005.
What is Dr. Kelly Tanney's NPI?
Dr. Kelly Tanney's National Provider Identifier (NPI) is 1164072039, issued by NPPES.
What procedures does Dr. Kelly Tanney commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.