DR. KELSEY DANIELLE ELLIOTT (OD) – Optometrist, NPI 1114585122
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
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Provider Addresses for DR. KELSEY DANIELLE ELLIOTT (OD)
15, Iris Lane, Lynwood Acres, Crossville, Cumberland County, Tennessee, 38555, United States
CROSSVILLE, TN 385557528
Phone: (931) 456-2728
Fax: (931) 456-5446
Type: Mailing
220, North Chancery Street, McMinnville, Warren County, Tennessee, 37110, United States
MCMINNVILLE, TN 371102551
Phone: (931) 473-2487
Fax: (931) 473-8782
Type: Location
722 Mann Ave
Larned, KS 675502909
Phone: (620) 285-2105
Fax: (620) 285-7236
Type: Location
722 MANN AVE
LARNED, KS 675502909
Phone: (620) 285-2105
Fax: (620) 285-7236
Type: Mailing
713 MCKINLEY ST
GREAT BEND, KS 675304707
Phone: (620) 792-3535
Fax: (800) 466-7923
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: ABBVIE INC. ($36).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $36 |
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: 2023-06-02
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 |
|---|---|---|---|---|
| I20230602001860 | I | Optometry | KS | 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 | 232 | 232 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 103 | $0 |
| 92004 | New patient complete exam of visual system | 93 | 93 | $0 |
| 92250 | Photography of the retina | 60 | 59 | $0 |
| 92134 | Imaging of retina | 29 | 29 | $0 |
Insurance plans in this area (ZIP 38555)
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