DR. KELLY BETH GERMAN (O.D.) – Optometrist, NPI 1063862126

DR. KELLY BETH GERMAN (O.D.) is a healthcare provider. based in Boulder, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT.0003214 (CO). The NPI Number for DR. KELLY BETH GERMAN (O.D.) is 1063862126

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY BETH GERMAN (O.D.)
NPI
1063862126
Phone
(303) 474-9001
Address
4800 Baseline Rd
Enumeration Date
20 June 2016
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
9702249880
Graduation Year
2016 (10 years ago)
PAC ID
8426312562
Group Practice PAC ID
4880662485
Professional Enrollment ID
I20191021003165
Address ID
CO805252403FO2111XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for DR. KELLY BETH GERMAN (O.D.)

  • 4800 Baseline Rd

    D107 & D108

    Boulder, CO 803032699

    Phone: (303) 474-9001

    Fax: (303) 494-1780

    Type: Location

  • 935 Broad St

    Grinnell, IA 501122047

    Phone: (641) 236-7502

    Fax: (641) 236-3700

    Type: Location

  • Mountain View Eye Specialists, 2111, Custer Drive, Rigden Farms, Fort Collins, Larimer County, Colorado, 80526, United States

    FORT COLLINS, CO 805252403

    Phone: (970) 224-9880

    Fax: (970) 224-9881

    Type: Mailing

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: CooperVision Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$22
View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191021003165IOptometryCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4036$0
66984Removal of cataract with insertion of prosthetic lens1712$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 80303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880662485View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YCO
O P T O M E T R YTX
O P T O M E T R YCO
O P T O M E T R YAZ
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
Optometry, OphthalmologyCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

What federal number belongs to DR. KELLY BETH GERMAN (O.D.)?
The federal identifier for DR. KELLY BETH GERMAN (O.D.) is NPI 1063862126.
Is DR. KELLY BETH GERMAN (O.D.)'s NPI currently valid?
The extract we use shows DR. KELLY BETH GERMAN (O.D.) as active.
What kind of provider is DR. KELLY BETH GERMAN (O.D.)?
The page reflects Optometrist for DR. KELLY BETH GERMAN (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. KELLY BETH GERMAN (O.D.) practice in Colorado?
You will see Boulder, Colorado on file for DR. KELLY BETH GERMAN (O.D.) alongside any extra practice locations.
How can I contact DR. KELLY BETH GERMAN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.