KELLEY LYNN DEAK (O.D.) – Optometrist, NPI 1184728123
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for KELLEY LYNN DEAK (O.D.)
740 W GREEN MEADOWS DR STE 300
GREENFIELD, IN 461403098
Phone: (317) 477-3937
Fax: (317) 477-3939
Type: Mailing
1130, Washington Street, Columbus, Bartholomew County, Indiana, 47201, United States
COLUMBUS, IN 472015720
Phone: (812) 379-9893
Fax: (812) 379-9904
Type: Location
3367, Berkshire Place, North Columbus, Columbus, Bartholomew County, Indiana, 47203, United States
COLUMBUS, IN 472034453
Phone: (812) 376-9558
Type: Mailing
1413 WASHINGTON ST
COLUMBUS, IN 472015725
Phone: (812) 372-1919
Type: Mailing
1980 N NATIONAL RD STE 300
COLUMBUS, IN 472014505
Phone: (317) 202-1438
Fax: (317) 202-1280
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $546.
Total Amount is formed as General ($546) + Research ($0) + Ownership ($0) = $546.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($176).
Total Amount
$546
General + Research + Ownership
Payments
14
Total payment records
General Amount
$546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $176 |
| Bausch & Lomb Americas Inc. | $149 |
| ABBVIE INC. | $92 |
| Alcon Vision LLC | $55 |
| BIOTISSUE HOLDINGS, INC. | $22 |
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: 2011-03-02
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 |
|---|---|---|---|---|
| I20110302000531 | I | Optometry | IN | 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 | 187 | 170 | $0 |
| 92014 | Established patient complete exam of visual system | 168 | 168 | $0 |
| 92004 | New patient complete exam of visual system | 75 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 60 | $0 |
| 92083 | Exam of visual field with extended testing | 29 | 28 | $0 |
Insurance plans in this area (ZIP 46140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IN |
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