KELSEY J KLEINSASSER (OD) – Optometrist, NPI 1740278944

KELSEY J KLEINSASSER (OD) is a healthcare provider. based in Kansas city, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 200160787 (MO). The NPI Number for KELSEY J KLEINSASSER (OD) is 1740278944

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY J KLEINSASSER (OD)
NPI
1740278944
Phone
(816) 358-3600
Address
4240 BLUE RIDGE BLVD
Enumeration Date
11 October 2005
Last Update Date
22 March 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8162462111
Graduation Year
2000 (26 years ago)
PAC ID
4688704745
Group Practice PAC ID
8921309329
Professional Enrollment ID
I20100616000438
Address ID
MO640865708LE1621XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for KELSEY J KLEINSASSER (OD)

  • Blue Ridge Tower, 4240, Blue Ridge Boulevard, Blue Ridge Crossing, Kansas City, Jackson County, Missouri, 64133, United States

    SUITE 1000

    KANSAS CITY, MO 641331713

    Phone: (816) 358-3600

    Fax: (816) 358-9903

    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 97 Open Payments records for all available years, with a total value of $2,683.

Total Amount is formed as General ($2,683) + Research ($0) + Ownership ($0) = $2,683.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($599).

Total Amount

$2,683

General + Research + Ownership

Payments

97

Total payment records

General Amount

$2,683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2010-06-16

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
I20100616000438IOptometryMOTBD

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 system1,2811,173$0
92012Established patient problem focused exam of visual system760563$0
92083Exam of visual field with extended testing690596$0
92133Imaging of optic nerve686665$0
99204New patient office or other outpatient visit, 45-59 minutes258258$0
View full utilization report →

Insurance plans in this area (ZIP 64133)

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Provider's Procedures

KELSEY J KLEINSASSER (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient368282

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: 8921309329View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What is the standard ID for KELSEY J KLEINSASSER (OD) in the U.S.?
In the U.S., KELSEY J KLEINSASSER (OD) is identified by NPI 1740278944.
Is KELSEY J KLEINSASSER (OD)'s NPI status active today?
Active status means KELSEY J KLEINSASSER (OD)'s NPI record is not deactivated in the public file.
What services align with KELSEY J KLEINSASSER (OD)'s listing?
KELSEY J KLEINSASSER (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is KELSEY J KLEINSASSER (OD) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, KELSEY J KLEINSASSER (OD) may be relevant to your search.
Who maintains KELSEY J KLEINSASSER (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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