CLINT W KELLOGG (D.O.) – Retina Specialist (Ophthalmology) Physician, NPI 1477998839

CLINT W KELLOGG (D.O.) is a healthcare provider. based in Columbia, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. Q9396 (TX). The NPI Number for CLINT W KELLOGG (D.O.) is 1477998839

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
CLINT W KELLOGG (D.O.)
NPI
1477998839
Phone
(573) 874-1616
Address
3600 AMRON CT
Enumeration Date
30 April 2013
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738741616
Graduation Year
2012 (14 years ago)
PAC ID
6406131986
Group Practice PAC ID
6507924263
Professional Enrollment ID
I20180607000916
Address ID
MO652021918CO3600XCTXX300

Contacts

Secure Messaging
ckellogg@retinamo.intellechartdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

444 OPHTHALMOLOGY in MO

Provider Addresses for CLINT W KELLOGG (D.O.)

  • 3600 AMRON CT

    COLUMBIA, MO 652021918

    Phone: (573) 874-1616

    Fax: (573) 875-0300

    Type: Mailing

  • 7031 SW 62nd Ave

    South Miami, FL 331434701

    Phone: (305) 284-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $878.

Total Amount is formed as General ($878) + Research ($0) + Ownership ($0) = $878.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($313).

Total Amount

$878

General + Research + Ownership

Payments

30

Total payment records

General Amount

$878

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-06-07

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
I20180607000916IOphthalmologyMOTBD

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
J2777Injection, faricimab-svoa, 0.1 mg14,70047$0
J0178Injection, aflibercept, 1 mg2,806276$0
92134Imaging of retina2,343950$0
92012Established patient problem focused exam of visual system1,473573$0
67028Injection of drug into eye1,441299$0
View full utilization report →

Insurance plans in this area (ZIP 65202)

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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: 6507924263View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
-MO

Reviews

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Frequently asked questions

How do I look up CLINT W KELLOGG (D.O.) by NPI?
Use NPI 1477998839 when you need to reference CLINT W KELLOGG (D.O.) in forms, claims, or directories.
Is CLINT W KELLOGG (D.O.) active in the national directory?
CLINT W KELLOGG (D.O.)'s public NPI profile is in an active state.
Does CLINT W KELLOGG (D.O.) list a primary specialty?
If you are matching referrals, note Retina Specialist (Ophthalmology) Physician for CLINT W KELLOGG (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for CLINT W KELLOGG (D.O.)?
We surface Columbia, Missouri for CLINT W KELLOGG (D.O.) based on available NPPES addresses.
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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