KELLIE MCMAHON – Optometrist, NPI 1114303625

KELLIE MCMAHON is a healthcare provider. based in North attleboro, Massachusetts. specializing in OPTOMETRY. They hold a License No. 5116 (MA). The NPI Number for KELLIE MCMAHON is 1114303625

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE MCMAHON
NPI
1114303625
Phone
Not provided
Address
119 EMERALD SQ
Enumeration Date
6 August 2015
Last Update Date
6 August 2015

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4017290200
Graduation Year
2015 (11 years ago)
PAC ID
5890002968
Group Practice PAC ID
9638425119
Professional Enrollment ID
I20180803000443
Address ID
RI028614107PA145XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for KELLIE MCMAHON

  • 119 EMERALD SQ

    NORTH ATTLEBORO, MA 027603640

    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 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Alcon Vision LLC ($52).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2018-08-03

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
I20180803000443IOptometryRITBD

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
92014Established patient complete exam of visual system7979$0
92250Photography of the retina7969$0
92133Imaging of optic nerve5944$0
99213Established patient office or other outpatient visit, 20-29 minutes4932$0
92134Imaging of retina2922$0
View full utilization report →

Insurance plans in this area (ZIP 02760)

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Provider's Procedures

KELLIE MCMAHON performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMA92083Measurement of field of vision during daylight conditions1613

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: 9638425119View full group profile
NameSpecialtyState
O P T O M E T R YRI

Reviews

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Frequently asked questions

Where can patients find KELLIE MCMAHON's NPI?
You can confirm KELLIE MCMAHON with NPI 1114303625; it appears in the national provider directory.
Is KELLIE MCMAHON's NPI currently valid?
The extract we use shows KELLIE MCMAHON as active.
What kind of provider is KELLIE MCMAHON?
The page reflects Optometrist for KELLIE MCMAHON. Clinical services aligned with this taxonomy classification.
What location shows for KELLIE MCMAHON?
We surface North Attleboro, Massachusetts for KELLIE MCMAHON based on available NPPES addresses.
Is KELLIE MCMAHON a real provider?
This page reflects official NPPES data for NPI 1114303625. Always confirm identity and privileges with the practice and licensing boards.

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