DR. KELLY ANN KISER (MD) – Ophthalmology Physician, NPI 1194386078

DR. KELLY ANN KISER (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 2019018427 (MO). The NPI Number for DR. KELLY ANN KISER (MD) is 1194386078

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY ANN KISER (MD)
NPI
1194386078
Phone
(314) 362-5000
Address
660 S EUCLID AVE # 8121
Enumeration Date
22 June 2019
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2174422631
Graduation Year
2019 (7 years ago)
PAC ID
4688905557
Group Practice PAC ID
8628059995
Professional Enrollment ID
I20240926001870
Address ID
IL618323094DA1104XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

444 OPHTHALMOLOGY in MO

Provider Addresses for DR. KELLY ANN KISER (MD)

  • South Euclid Avenue, WashU, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5000

    Type: Mailing

  • 1 BARNES JEW HOSP PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5000

    Type: Location

  • 1104 N VERMILION ST

    DANVILLE, IL 618323094

    Phone: (217) 442-2631

    Fax: (217) 442-0119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: RxSight Inc ($163).

Total Amount

$322

General + Research + Ownership

Payments

5

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230824001763IOphthalmologyNETBD
I20240926001870IOphthalmologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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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: 8628059995View full group profile
NameSpecialtyState
-IL
O P T O M E T R YIL
O P H T H A L M O L O G YND
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
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 DR. KELLY ANN KISER (MD)?
For DR. KELLY ANN KISER (MD), use NPI 1194386078 as the unique 10-digit identifier.
Is DR. KELLY ANN KISER (MD) shown as active in public data?
Registry records indicate DR. KELLY ANN KISER (MD) maintains an active NPI.
What clinical focus is listed for DR. KELLY ANN KISER (MD)?
At a glance, DR. KELLY ANN KISER (MD) is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KELLY ANN KISER (MD)?
Directory geography for DR. KELLY ANN KISER (MD) centers on Saint Louis, Missouri.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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