THOMAS M KELLY (O.D.) – Optometrist, NPI 1285730986
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for THOMAS M KELLY (O.D.)
457, Dover Center Road, Bay Village, Cuyahoga County, Ohio, 44140, United States
BAY VILLAGE, OH 441402357
Phone: (440) 871-1139
Fax: (440) 871-0222
Type: Mailing
570, Dover Center Road, Bay Village, Cuyahoga County, Ohio, 44140, United States
BAY VILLAGE, OH 441402361
Phone: (440) 871-1139
Fax: (440) 871-0222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $517.
Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($241).
Total Amount
$517
General + Research + Ownership
Payments
12
Total payment records
General Amount
$517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $241 |
| Dompe US, Inc. | $147 |
| ABB Con-Cise Optical Group LLC | $65 |
| Alcon Vision LLC | $26 |
| Tarsus Pharmaceuticals, Inc. | $22 |
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: 2004-02-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040218000244 | I | Optometry | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 2,688 | 25 | $0 |
| 92014 | Established patient complete exam of visual system | 284 | 279 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 112 | $0 |
| 92083 | Exam of visual field with extended testing | 97 | 86 | $0 |
| 92133 | Imaging of optic nerve | 91 | 85 | $0 |
Insurance plans in this area (ZIP 44140)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
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