KELLY ANNE WILLIAMSON (M.D.) – Ophthalmology Physician, NPI 1114286614

KELLY ANNE WILLIAMSON (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD457807 (PA). The NPI Number for KELLY ANNE WILLIAMSON (M.D.) is 1114286614

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANNE WILLIAMSON (M.D.)
NPI
1114286614
Phone
(215) 255-7822
Address
1601 CHERRY ST
Enumeration Date
4 May 2012
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6104225000
Graduation Year
2012 (14 years ago)
PAC ID
8729379979
Group Practice PAC ID
1658276290
Professional Enrollment ID
I20160620001840
Address ID
PA193553087MA254XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

Provider Addresses for KELLY ANNE WILLIAMSON (M.D.)

  • 1601 CHERRY ST

    SUITE 11511

    PHILADELPHIA, PA 191021320

    Phone: (215) 255-7822

    Fax: (215) 255-7825

    Type: Mailing

  • 219 N BROAD ST

    3RD FLOOR

    PHILADELPHIA, PA 191071519

    Phone: (215) 762-5612

    Fax: (215) 762-5602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $454.

Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($128).

Total Amount

$454

General + Research + Ownership

Payments

21

Total payment records

General Amount

$454

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2016-06-20

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
I20160620001840IOphthalmologyPATBD

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
92133Imaging of optic nerve379284$0
92083Exam of visual field with extended testing352251$0
92012Established patient problem focused exam of visual system325245$0
92014Established patient complete exam of visual system275266$0
66984Removal of cataract with insertion of prosthetic lens12480$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 1658276290View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY ANNE WILLIAMSON (M.D.)?
KELLY ANNE WILLIAMSON (M.D.) — NPI 1114286614 — is the standard way to identify this listing.
Can I rely on KELLY ANNE WILLIAMSON (M.D.) being an active provider?
As of the registry snapshot, KELLY ANNE WILLIAMSON (M.D.) is marked active.
What is KELLY ANNE WILLIAMSON (M.D.) best known for clinically?
Directory data describes KELLY ANNE WILLIAMSON (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does KELLY ANNE WILLIAMSON (M.D.) list a practice location?
Patients near Philadelphia, Pennsylvania may find KELLY ANNE WILLIAMSON (M.D.) in results; validate coverage separately.
Why does KELLY ANNE WILLIAMSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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