DR. KELLY K. HAITHCOCK (M.D.) – Ophthalmology Physician, NPI 1275582884

DR. KELLY K. HAITHCOCK (M.D.) is a healthcare provider. based in Ft worth, Texas. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. M3248 (TX). The NPI Number for DR. KELLY K. HAITHCOCK (M.D.) is 1275582884

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY K. HAITHCOCK (M.D.)
NPI
1275582884
Phone
(817) 423-1800
Address
6551 HARRIS PKWY
Enumeration Date
9 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8174231800204
Graduation Year
2002 (24 years ago)
PAC ID
4082627690
Group Practice PAC ID
8527017888
Professional Enrollment ID
I20060727000377
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KELLY K. HAITHCOCK (M.D.)

  • 6551, Harris Parkway, Fort Worth, Tarrant County, Texas, 76132, United States

    SUITE 200

    FT WORTH, TX 761326103

    Phone: (817) 423-1800

    Fax: (817) 423-1900

    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 6 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Alcon Vision LLC ($131).

Total Amount

$131

General + Research + Ownership

Payments

6

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$131
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 system308306$0
66821Removal of recurring cataract in lens capsule using a laser10271$0
92133Imaging of optic nerve4646$0
92012Established patient problem focused exam of visual system4237$0
92004New patient complete exam of visual system3131$0
View full utilization report →

Insurance plans in this area (ZIP 76132)

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Provider's Procedures

DR. KELLY K. HAITHCOCK (M.D.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTX92083Measurement of field of vision during daylight conditions106105

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: 8527017888View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What identifier follows DR. KELLY K. HAITHCOCK (M.D.) across health systems?
The NPI 1275582884 uniquely identifies DR. KELLY K. HAITHCOCK (M.D.) in U.S. healthcare data.
Should I treat DR. KELLY K. HAITHCOCK (M.D.) as an active provider?
Patients and plans typically see DR. KELLY K. HAITHCOCK (M.D.) as active in the national extract.
What type of care does DR. KELLY K. HAITHCOCK (M.D.) provide?
DR. KELLY K. HAITHCOCK (M.D.)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KELLY K. HAITHCOCK (M.D.)?
DR. KELLY K. HAITHCOCK (M.D.) is associated with Ft Worth, Texas in the same public data insurers reference.
Who maintains DR. KELLY K. HAITHCOCK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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