DR. KELLY ANN MASON (O.D.) – Optometrist, NPI 1013055292
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,129 OPTOMETRY in TX
Provider Addresses for DR. KELLY ANN MASON (O.D.)
8663 PARADA CT
ROSEVILLE, CA 957478917
Phone: (916) 740-6070
Type: Mailing
27102 QUARTZ WAY
SAN ANTONIO, TX 782601722
Phone: (210) 202-8467
Type: Mailing
1929 STATE HIGHWAY 46 W STE 103
NEW BRAUNFELS, TX 781325337
Phone: (830) 624-8870
Type: Location
1001, Riverside Avenue, Roseville, Placer County, California, 95678, United States
ROSEVILLE, CA 956785134
Phone: (916) 784-4547
Type: Location
22906 US Highway 281 N Ste 101
San Antonio, TX 782587635
Phone: (210) 495-7483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: CooperVision Inc. ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230109001419 | I | Optometry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 14 | 14 | $0 |
Insurance plans in this area (ZIP 95747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | OK | |
| - | TX | |
| O P T O M E T R Y | TX | |
| - | VA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | TX | |
| - | TX |
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