KELLY MORITZ (O.D.) – Optometrist, NPI 1104366053
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
140 OPTOMETRY in DE
Provider Addresses for KELLY MORITZ (O.D.)
37 BONNYWICK DR
HARRISBURG, PA 171114933
Phone: (717) 319-0778
Type: Mailing
4605 Kirkwood Hwy # A
Wilmington, DE 198085005
Phone: (302) 999-7171
Type: Location
1325 Market St
Philadelphia, PA 191072500
Phone: (267) 514-4393
Type: Location
4002, Chestnut Street, Powelton Village, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
PHILADELPHIA, PA 19104
Phone: (215) 921-4871
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Alcon Vision LLC ($156).
Total Amount
$269
General + Research + Ownership
Payments
9
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $156 |
| Dompe US, Inc. | $55 |
| Tarsus Pharmaceuticals, Inc. | $36 |
| CooperVision 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: 2020-10-16
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 |
|---|---|---|---|---|
| I20201016000293 | I | Optometry | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 17 | $0 |
Insurance plans in this area (ZIP 17111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NY | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | PA |
Reviews
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