DR. IAIN M SR. KELLY (OD) – Optometrist, NPI 1366475014
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. IAIN M SR. KELLY (OD)
3100 GOVERNORS PLACE BLVD
KETTERING, OH 454091334
Phone: (937) 297-7676
Type: Location
PO BOX 33
MEDWAY, OH 453410033
Phone: (937) 776-4788
Type: Mailing
1370, North Fairfield Road, Zimmerman, Beavercreek, Greene County, Ohio, 45432, United States
SUITE A
BEAVERCREEK, OH 454322675
Phone: (937) 426-2212
Fax: (937) 426-3975
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,142.
Total Amount is formed as General ($1,142) + Research ($0) + Ownership ($0) = $1,142.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($603).
Total Amount
$1,142
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $603 |
| Bausch & Lomb Americas Inc. | $393 |
| CooperVision Inc. | $104 |
| Alcon Vision LLC | $41 |
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: 2004-07-30
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 |
|---|---|---|---|---|
| I20040730001082 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 235 | 231 | $0 |
| 92004 | New patient complete exam of visual system | 47 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 92134 | Imaging of retina | 16 | 14 | $0 |
Insurance plans in this area (ZIP 45409)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| O P H T H A L M O L O G Y | OH | |
| Ophthalmology, Plastic And Reconstructive Surgery | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.