KELLY JOY SOULTS (O.D.) – Optometrist, NPI 1932189354
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
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Provider Addresses for KELLY JOY SOULTS (O.D.)
Chalet Bar & Grill, 1551, Valley West Drive, Valley West Mall, West Des Moines, Polk County, Iowa, 50265, United States
SUITE 242
WEST DES MOINES, IA 502661112
Phone: (515) 224-9681
Fax: (515) 224-9687
Type: Location
Merle Hay Mall, 3800, Merle Hay Road, Des Moines, Polk County, Iowa, 50310, United States
SUITE 501
DES MOINES, IA 503101305
Phone: (515) 278-1653
Fax: (515) 278-0043
Type: Mailing
1250 NW 128TH ST STE 150
CLIVE, IA 503257433
Phone: (515) 223-9595
Fax: (515) 223-9795
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $310.
Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.
Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Alcon Vision LLC ($128).
Total Amount
$310
General + Research + Ownership
Payments
11
Total payment records
General Amount
$310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $128 |
| CooperVision Inc. | $110 |
| Johnson & Johnson Vision Care, Inc. | $72 |
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: 2005-03-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050311000077 | I | Optometry | IA | 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 | 299 | 275 | $0 |
| 92014 | Established patient complete exam of visual system | 297 | 296 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 76 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 67 | 35 | $0 |
| 92133 | Imaging of optic nerve | 52 | 40 | $0 |
Insurance plans in this area (ZIP 50266)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IA |
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