DR. JAMES MICHAEL KELLY (O.D.) – Optometrist, NPI 1154309524

DR. JAMES MICHAEL KELLY (O.D.) is a healthcare provider. based in Glen ellyn, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-008415 (IL). The NPI Number for DR. JAMES MICHAEL KELLY (O.D.) is 1154309524

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES MICHAEL KELLY (O.D.)
NPI
1154309524
Phone
(630) 790-1300
Address
489 TAFT AVE STE 100
Enumeration Date
5 January 2006
Last Update Date
13 January 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6307901300
Graduation Year
1991 (35 years ago)
PAC ID
6406752971
Group Practice PAC ID
2365650793
Professional Enrollment ID
I20031208000583
Address ID
IL601378209GL489XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. JAMES MICHAEL KELLY (O.D.)

  • Taft Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601378209

    Phone: (630) 790-1300

    Fax: (630) 790-1378

    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 13 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($133).

Total Amount

$312

General + Research + Ownership

Payments

13

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2003-12-08

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
I20031208000583IOptometryILTBD

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
92250Photography of the retina194171$0
92014Established patient complete exam of visual system157154$0
99213Established patient office or other outpatient visit, 20-29 minutes6149$0
92285Photography of content of eyes5439$0
92004New patient complete exam of visual system3838$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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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: 2365650793View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

How is DR. JAMES MICHAEL KELLY (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JAMES MICHAEL KELLY (O.D.) with NPI 1154309524.
Is DR. JAMES MICHAEL KELLY (O.D.) listed as active for patients and plans?
The listing shows DR. JAMES MICHAEL KELLY (O.D.) as active in the NPI system.
What is DR. JAMES MICHAEL KELLY (O.D.) best known for clinically?
Directory data describes DR. JAMES MICHAEL KELLY (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAMES MICHAEL KELLY (O.D.)?
DR. JAMES MICHAEL KELLY (O.D.)'s geographic hint is Glen Ellyn, Illinois in our summary view.
Why does DR. JAMES MICHAEL KELLY (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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