MRS. KELLY CHRISTINE TRUSSELL (O.D.) – Optometrist, NPI 1003291089

MRS. KELLY CHRISTINE TRUSSELL (O.D.) is a healthcare provider. based in Fishers, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18003922A (IN). The NPI Number for MRS. KELLY CHRISTINE TRUSSELL (O.D.) is 1003291089

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY CHRISTINE TRUSSELL (O.D.)
NPI
1003291089
Phone
(317) 577-0707
Address
10967 ALLISONVILLE RD
Enumeration Date
20 July 2015
Last Update Date
7 February 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8438812492
Graduation Year
2011 (15 years ago)
PAC ID
6800102401
Group Practice PAC ID
4587998802
Professional Enrollment ID
I20180611002524
Address ID
SC294643487MO966XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for MRS. KELLY CHRISTINE TRUSSELL (O.D.)

  • 10967 ALLISONVILLE RD

    SUITE 120

    FISHERS, IN 460382632

    Phone: (317) 577-0707

    Type: Mailing

  • 1619 CATAWBA STREET

    COLUMBIA, SC 29205

    Phone: (317) 753-6443

    Type: Mailing

  • 119 LIBRARY HILL LN

    LEXINGTON, SC 290723893

    Phone: (803) 359-2110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,169.

Total Amount is formed as General ($2,169) + Research ($0) + Ownership ($0) = $2,169.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($427).

Total Amount

$2,169

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

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: 2018-06-11

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
I20180611002524IOptometrySCTBD

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 minutes2717$0
92014Established patient complete exam of visual system1515$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 46038)

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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: 4587998802View full group profile
NameSpecialtyState
O P T O M E T R YSC
O P T O M E T R YCO
O P T O M E T R YMN
-VA
O P T O M E T R YOH
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do payers reference MRS. KELLY CHRISTINE TRUSSELL (O.D.)?
For MRS. KELLY CHRISTINE TRUSSELL (O.D.), use NPI 1003291089 as the unique 10-digit identifier.
Is MRS. KELLY CHRISTINE TRUSSELL (O.D.) shown as active in public data?
Registry records indicate MRS. KELLY CHRISTINE TRUSSELL (O.D.) maintains an active NPI.
How would a patient describe MRS. KELLY CHRISTINE TRUSSELL (O.D.)'s focus?
For MRS. KELLY CHRISTINE TRUSSELL (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is MRS. KELLY CHRISTINE TRUSSELL (O.D.) located near Fishers?
MRS. KELLY CHRISTINE TRUSSELL (O.D.) currently maps to Fishers, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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