DR. KELSEY KENNEDY NEWCOME (OD) – Optometrist, NPI 1043872914

DR. KELSEY KENNEDY NEWCOME (OD) is a healthcare provider. based in Horse cave, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2150DT (KY). The NPI Number for DR. KELSEY KENNEDY NEWCOME (OD) is 1043872914

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELSEY KENNEDY NEWCOME (OD)
NPI
1043872914
Phone
Not provided
Address
1483 S DIXIE ST
Enumeration Date
1 July 2019
Last Update Date
1 July 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2708420383
Graduation Year
2019 (7 years ago)
PAC ID
5193056927
Group Practice PAC ID
7517986722
Professional Enrollment ID
I20191009002413
Address ID
KY421037966BO335XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. KELSEY KENNEDY NEWCOME (OD)

  • 1483, South Dixie Street, Horse Cave, Hart County, Kentucky, 42749, United States

    HORSE CAVE, KY 427491457

    Phone:

    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 17 Open Payments records for all available years, with a total value of $694.

Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($135).

Total Amount

$694

General + Research + Ownership

Payments

17

Total payment records

General Amount

$694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-10-09

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
I20191009002413IOptometryKYTBD

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 minutes5240$0
92014Established patient complete exam of visual system5151$0
92250Photography of the retina2121$0
92004New patient complete exam of visual system2121$0
92133Imaging of optic nerve1918$0
View full utilization report →

Insurance plans in this area (ZIP 42749)

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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: 7517986722View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YKY
O P T O M E T R YKY
-KY
O P T O M E T R YKY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KELSEY KENNEDY NEWCOME (OD)?
NPI 1043872914 is assigned to DR. KELSEY KENNEDY NEWCOME (OD) under the national enumeration system.
Is DR. KELSEY KENNEDY NEWCOME (OD) currently active in the NPI registry?
CMS-published data lists DR. KELSEY KENNEDY NEWCOME (OD) as an active registrant.
Can you summarize DR. KELSEY KENNEDY NEWCOME (OD)'s specialty in plain language?
Clinically, the directory lists DR. KELSEY KENNEDY NEWCOME (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. KELSEY KENNEDY NEWCOME (OD) practice in Kentucky?
You will see Horse Cave, Kentucky on file for DR. KELSEY KENNEDY NEWCOME (OD) alongside any extra practice locations.
Is DR. KELSEY KENNEDY NEWCOME (OD) a real provider?
This page reflects official NPPES data for NPI 1043872914. Always confirm identity and privileges with the practice and licensing boards.

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