DR. KELLY SHANNON KEEFE (M.D.) – Ophthalmology Physician, NPI 1114987658
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
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Provider Addresses for DR. KELLY SHANNON KEEFE (M.D.)
3969, 4th Avenue, Hillcrest, San Diego, San Diego County, California, 92103, United States
SUITE 301
SAN DIEGO, CA 92103
Phone: (619) 291-6191
Fax: (619) 291-0049
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $676.
Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($198).
Total Amount
$676
General + Research + Ownership
Payments
21
Total payment records
General Amount
$676
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $198 |
| Alcon Vision LLC | $187 |
| Dompe US, Inc. | $99 |
| Horizon Therapeutics plc | $67 |
| Bausch & Lomb Americas Inc. | $61 |
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: 2014-02-10
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 |
|---|---|---|---|---|
| I20140210000004 | I | Ophthalmology | CA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 41 | 33 | $0 |
| 92012 | Established patient problem focused exam of visual system | 34 | 27 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 29 | 27 | $0 |
| 92004 | New patient complete exam of visual system | 15 | 15 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 13 | 12 | $0 |
Insurance plans in this area (ZIP 92103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Surgical Oncology, General Surgery | IL | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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