Doctor profile · Federal record
Dr. Derek Kelly, MD
Pediatric Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Collierville, TN
- NPI 1649499971
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
1458 W Poplar Ave, Suite 100
Collierville, TN 380170630
(901) 759-3100
fax (901) 759-3196 - Additional location
-
1211 Union Ave Ste 500
Memphis, TN 381046656 - Additional location
-
1400 S Germantown RD
Germantown, TN 381382205 - Additional location
-
8000 Centerview Pkwy Ste 500
Cordova, TN 380184254 - Additional location
-
7545 Airways Blvd
Southaven, MS 386715806 - Mailing address
-
1400 S Germantown RD
Germantown, TN 381382205
Show 2 more locations
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- October 7, 2022
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207XP3100X — NUCC code
- State license (1)
- Tennessee #43223
- Medicaid (5)
- AR #174871001 · MS #100169565 · MS #008850343 · TN #1508536 · MS #04951036
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649499971. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,435
Distinct HCPCS
10
Medicare allowed
$90,826
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 929 | 397 | $22 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 852 | 328 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 579 | 277 | $28 | |
97530 |
Therapy procedure using functional activities | 382 | 190 | $33 | |
97535 |
Training for self-care or home management, each 15 minutes | 245 | 177 | $27 | |
97016 |
Application of blood vessel compression device | 182 | 82 | $9 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 92 | 91 | $94 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 74 | 43 | $9 | |
97116 |
Therapy procedure for walking training, each 15 minutes | 43 | 38 | $23 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 28 | 28 | $94 |
In context: peer comparison
Among 1 peers in Collierville Pediatric Orthopaedic Surgery Physician, average services per provider: 286. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$1,342
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| OrthoPediatrics Corp. | 2 | $1,083.93 | |
| Zimmer Biomet Holdings, INC. | 1 | $139.87 | |
| Bioventus LLC | 1 | $117.82 |
By nature of payment
Frequently asked questions
What is Dr. Derek Kelly's medical specialty?
Dr. Derek Kelly practices Pediatric Orthopaedic Surgery Physician in Collierville, TN.
Where does Dr. Derek Kelly practice?
Dr. Derek Kelly practices at 1458 W Poplar Ave, Collierville, TN 380170630. Office phone: 9017593100.
What is Dr. Derek Kelly's NPI?
Dr. Derek Kelly's National Provider Identifier (NPI) is 1649499971, issued by NPPES.
Does Dr. Derek Kelly accept Medicare assignment?
Yes. Dr. Derek Kelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derek Kelly commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.