KELLY DUFF VISENTINE (O.D.) – Optometrist, NPI 1396979944
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
Provider Addresses for KELLY DUFF VISENTINE (O.D.)
3551 JUSTIN RD STE 150
FLOWER MOUND, TX 750286213
Phone: (972) 355-5152
Fax: (972) 691-2958
Type: Location
3106 WOODHOLLOW DR
FLOWER MOUND, TX 750228475
Phone: (972) 259-0052
Type: Mailing
210, Elizabeth Street, Elizabeth, Elbert County, Colorado, 80107, United States
SUITE B
ELIZABETH, CO 801077538
Phone: (303) 646-8888
Fax: (303) 646-8880
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,334.
Total Amount is formed as General ($1,334) + Research ($0) + Ownership ($0) = $1,334.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($336).
Total Amount
$1,334
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $336 |
| Bausch & Lomb Americas Inc. | $274 |
| Alcon Vision LLC | $253 |
| BIOTISSUE HOLDINGS INC. | $185 |
| CooperVision Inc. | $72 |
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: 2016-05-04
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 |
|---|---|---|---|---|
| I20160504001272 | I | Optometry | TX | 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 | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 17 | $0 |
| 92004 | New patient complete exam of visual system | 20 | 20 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 75028)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| - | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| - | TX | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
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