KELLY L BULOW OD
NPI 1003829177
Optometrist in West Branch, MI
About Kelly L Bulow Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY L BULOW OD (NPI 1003829177) is an individual optometrist in West Branch, Michigan, licensed in Michigan (4901003860) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly L Bulow Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Bulow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Branch, MI 48661
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Bay City, MI 48708
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Bulow's NPI number?
The NPI number for Kelly Bulow is 1003829177. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Kelly Bulow located?
Kelly Bulow practices at 559 Progress St Ste E, West Branch, MI 48661. The listed phone number is (989) 345-8113.
What is Kelly Bulow's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelly Bulow enrolled in Medicare?
Yes. Kelly Bulow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Bulow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bulow reassigns Medicare benefits to 2 organizations: Ogemaw Eye Institute PC (West Branch, MI) and Bay Eye Care Center, PC (Bay City, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bulow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Bulow accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kelly Bulow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Bulow was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly L Bulow, OD · NPI 1003829177
Optometrist provider in West Branch, Michigan. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1003829177 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901003860 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 559 PROGRESS ST STE E, West Branch, MI 48661-9399
- **Phone:** (989) 345-8113 · **Fax:** (893) 457-4849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ogemaw Eye Institute PC (NPI 1114561727, West Branch, MI); Bay Eye Care Center, PC (NPI 1679595201, Bay City, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** February 5, 2021
- **Other identifiers:** Medicaid 944529185 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1003829177) · Data from the CMS NPPES public registry.