DR. KELLYN NACKE BELLSMITH (M.D.) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1801242573
Pediatric Ophthalmology and Strabismus Specialist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
343 OPHTHALMOLOGY in OR
Provider Addresses for DR. KELLYN NACKE BELLSMITH (M.D.)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 494-3000
Fax: (503) 494-4286
Type: Location
Casey Eye Institute, 3375, Southwest Terwilliger Boulevard, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972394146
Phone: (503) 494-3000
Fax: (503) 494-4286
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2020-05-29
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 |
|---|---|---|---|---|
| I20200529001407 | I | Ophthalmology | OR | 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 |
|---|---|---|---|---|
| 92060 | Exam to measure eye deviation and range of motion | 80 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
| 67335 | Placement of adjustable sutures during eye muscle surgery | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | TN | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| General Surgery, Thoracic Surgery | WA | |
| - | OR | |
| - | OR | |
| - | WA |
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