DR. KELLY CHRISTINE CAMPBELL (O.D.) – Optometrist, NPI 1477867919

DR. KELLY CHRISTINE CAMPBELL (O.D.) is a healthcare provider. based in Ponca city, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2646 (OK). The NPI Number for DR. KELLY CHRISTINE CAMPBELL (O.D.) is 1477867919

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY CHRISTINE CAMPBELL (O.D.)
NPI
1477867919
Phone
(580) 762-5700
Address
1619 N 5TH ST
Enumeration Date
26 July 2010
Last Update Date
22 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807625700
Graduation Year
2010 (16 years ago)
PAC ID
9537357660
Group Practice PAC ID
5799067245
Professional Enrollment ID
I20101216000176
Address ID
OK746012703PO1619XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

685 OPTOMETRY in OK

Provider Addresses for DR. KELLY CHRISTINE CAMPBELL (O.D.)

  • 1619 N 5TH ST

    PONCA CITY, OK 746012703

    Phone: (580) 762-5700

    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 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Alcon Vision LLC ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$56
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: 2010-12-16

PECOS data refreshed: 2026-06-15

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
I20101216000176IOptometryOKTBD

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 system136136$0
99213Established patient office or other outpatient visit, 20-29 minutes6551$0
92250Photography of the retina5858$0
92004New patient complete exam of visual system3030$0
66984Removal of cataract with insertion of prosthetic lens2415$0
View full utilization report →

Insurance plans in this area (ZIP 74601)

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Provider's Procedures

DR. KELLY CHRISTINE CAMPBELL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOK92134Diagnostic imaging of retina1212

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: 5799067245View full group profile
NameSpecialtyState
O P T O M E T R YOK

Reviews

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Frequently asked questions

Is there an official ID for DR. KELLY CHRISTINE CAMPBELL (O.D.) in U.S. healthcare records?
The official identifier for DR. KELLY CHRISTINE CAMPBELL (O.D.) is NPI 1477867919.
Is there an active status for DR. KELLY CHRISTINE CAMPBELL (O.D.)?
For scheduling context, DR. KELLY CHRISTINE CAMPBELL (O.D.) is shown as active in the registry.
How would a patient describe DR. KELLY CHRISTINE CAMPBELL (O.D.)'s focus?
For DR. KELLY CHRISTINE CAMPBELL (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KELLY CHRISTINE CAMPBELL (O.D.) associated with Ponca City?
Public fields place DR. KELLY CHRISTINE CAMPBELL (O.D.) around Ponca City, Oklahoma. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KELLY CHRISTINE CAMPBELL (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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