DR. LISA DIANE KELLY (M.D.) – Ophthalmology Physician, NPI 1265421705

DR. LISA DIANE KELLY (M.D.) is a healthcare provider. based in Blue ash, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. D0052537 (MD). The NPI Number for DR. LISA DIANE KELLY (M.D.) is 1265421705

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA DIANE KELLY (M.D.)
NPI
1265421705
Phone
(513) 569-3741
Address
1945 CEI DR
Enumeration Date
18 October 2005
Last Update Date
6 August 2015

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
5135844503
Graduation Year
1984 (42 years ago)
PAC ID
7810202165
Group Practice PAC ID
2264344480
Professional Enrollment ID
I20150814013615
Address ID
OH452192399CI3130XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

840 OPHTHALMOLOGY in OH

Provider Addresses for DR. LISA DIANE KELLY (M.D.)

  • 1945 CEI DR

    BLUE ASH, OH 452425664

    Phone: (513) 569-3741

    Fax: (513) 569-3941

    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 $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($164).

Total Amount

$396

General + Research + Ownership

Payments

4

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2015-08-14

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
I20150814013615IOphthalmologyOHTBD

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 minutes7667$0
92083Exam of visual field with extended testing1313$0
View full utilization report →

Insurance plans in this area (ZIP 45242)

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Provider's Procedures

DR. LISA DIANE KELLY (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYOH92083Measurement of field of vision during daylight conditions1212

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: 2264344480View full group profile
NameSpecialtyState
-OH
Radiation OncologyOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
N E U R O L O G YOH
-OH
-OH
-OH
-OH
Family PracticeOH

Reviews

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Frequently asked questions

Does DR. LISA DIANE KELLY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LISA DIANE KELLY (M.D.) uses 1265421705.
Does the file indicate DR. LISA DIANE KELLY (M.D.) is practicing under active NPI?
Directory data currently reports DR. LISA DIANE KELLY (M.D.) as active.
What is DR. LISA DIANE KELLY (M.D.)'s specialty?
The listing groups DR. LISA DIANE KELLY (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. LISA DIANE KELLY (M.D.) serve?
DR. LISA DIANE KELLY (M.D.)'s listing highlights Blue Ash, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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