KRISTOPHER J KELLY (M.D.) – Ophthalmology Physician, NPI 1316980329

KRISTOPHER J KELLY (M.D.) is a healthcare provider. based in Maumee, Ohio. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 35087489 (OH). The NPI Number for KRISTOPHER J KELLY (M.D.) is 1316980329

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOPHER J KELLY (M.D.)
NPI
1316980329
Phone
(419) 893-4883
Address
5655 MONCLOVA RD
Enumeration Date
14 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4198934883
Graduation Year
2002 (24 years ago)
PAC ID
6608879994
Group Practice PAC ID
0446416176
Professional Enrollment ID
I20060804000136
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KRISTOPHER J KELLY (M.D.)

  • Monclova Road, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435371835

    Phone: (419) 893-4883

    Fax: (419) 893-2312

    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 $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($60).

Total Amount

$126

General + Research + Ownership

Payments

4

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2006-08-04

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
I20060804000136IOphthalmologyOHTBD

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 system3535$0
92012Established patient problem focused exam of visual system2626$0
92083Exam of visual field with extended testing1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
92133Imaging of optic nerve1212$0
View full utilization report →

Insurance plans in this area (ZIP 43537)

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Reviews

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Frequently asked questions

What number should I use to identify KRISTOPHER J KELLY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1316980329 for KRISTOPHER J KELLY (M.D.).
Is KRISTOPHER J KELLY (M.D.)'s NPI status active today?
Active status means KRISTOPHER J KELLY (M.D.)'s NPI record is not deactivated in the public file.
What services align with KRISTOPHER J KELLY (M.D.)'s listing?
KRISTOPHER J KELLY (M.D.)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is KRISTOPHER J KELLY (M.D.) tied to Maumee, Ohio?
If you are local to Maumee, Ohio, KRISTOPHER J KELLY (M.D.) may be relevant to your search.
Can I export KRISTOPHER J KELLY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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