DR. KELLY GLASS OD
NPI 1023425675
Optometrist in Broken Arrow, OK
About Dr. Kelly Glass Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY GLASS OD (NPI 1023425675) is an individual optometrist in Broken Arrow, Oklahoma, licensed in Oklahoma (2887) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2014).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kelly Glass 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
5Medicare enrollment records show Kelly Glass reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Broken Arrow, OK 74011
- Reassigned Medicare billing, Oklahoma enrollment
- 43 clinicians in this Medicare group
Broken Arrow, OK 74012
- Reassigned Medicare billing, Oklahoma enrollment
- 10 clinicians in this Medicare group
Tulsa, OK 74120
- Reassigned Medicare billing, Oklahoma enrollment
- 2 clinicians in this Medicare group
Claremore, OK 74017
- Reassigned Medicare billing, Texas enrollment
- 1,047 clinicians in this Medicare group
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 96 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
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 74011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Glass's NPI number?
The NPI number for Kelly Glass is 1023425675. It was assigned to this individual provider in the NPPES registry on July 15, 2014.
Where is Kelly Glass located?
Kelly Glass practices at 2500 W New Orleans St, Broken Arrow, OK 74011. The listed phone number is (918) 893-3769.
What is Kelly Glass's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelly Glass enrolled in Medicare?
Yes. Kelly Glass 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 Glass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Glass reassigns Medicare benefits to 5 organizations: Med Southwest, PLLC (Broken Arrow, OK), Beatty-Jtjv LLC (Broken Arrow, OK), David R. Free, O.D. PC (Tulsa, OK), Cherokee Nation (Claremore, OK) and Northeastern State University College Of Optometry (Tahlequah, OK). 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 Glass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Glass accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 15 other insurers list Kelly Glass 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 Glass was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kelly Glass, OD · NPI 1023425675
Optometrist provider in Broken Arrow, Oklahoma. Individual provider, active in the CMS NPPES registry since July 15, 2014.
## Identity
- **NPI:** 1023425675 (Entity type: Individual)
- **Enumerated:** July 15, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2887 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 W NEW ORLEANS ST, Broken Arrow, OK 74011-1574
- **Phone:** (918) 893-3769 · **Fax:** (918) 286-8281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Med Southwest, PLLC (NPI 1760152805, Broken Arrow, OK); Beatty-Jtjv LLC (NPI 1285450957, Broken Arrow, OK); David R. Free, O.D. PC (NPI 1598824914, Tulsa, OK); Cherokee Nation (NPI 1497568968, Claremore, OK); Northeastern State University College Of Optometry (NPI 1437106333, Tahlequah, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 2014
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023425675) · Data from the CMS NPPES public registry.