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DR. JAMES FREDERICK KELLY M.D.
NPI 1033364476
Ophthalmology in New York, NY

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment
40 WATERSIDE PLZ, APT 5K, NEW YORK, NY 10010(212) 920-5835 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Frederick Kelly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES FREDERICK KELLY M.D. (NPI 1033364476) is an individual ophthalmology provider in New York, New York, licensed in New York (252221) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Queens Hospital Center, and is a graduate of Georgetown University School Of Medicine (2007).

NPPES Registry Identity

NPI1033364476
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES FREDERICK KELLYCredential: M.D.
Location Address40 WATERSIDE PLZ, APT 5KNew York, NY 10010-2631
Mailing Address40 Waterside Plz, Apt 5kNew York, NY 10010-2631 · (212) 920-5835
Phone(212) 920-5835
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2007
Enumeration DateNovember 26, 2008
Last NPPES UpdateJanuary 9, 2017
✔ NPI 1033364476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 252221
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
40 WATERSIDE PLZ, New York, NY 10010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. James Frederick Kelly M.d. 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.

PECOS PAC ID547429979
PECOS Enrollment IDI20120305000414
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show James Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maayan Keshet MD PC
1.5 mi
Ophthalmologic Surgery
330 W 58TH ST, SUITE 600
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1396164216 (781) 608-9871
New York City Health And Hospitals Corporation
1.9 mi
Skilled Nursing Facility
227 MADISON ST, MEDICAL STAFF OFFICE R-1249
New York, NY 10002
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1497859573 (212) 238-7614
Arthur M. Cotliar, MD PLLC
7.2 mi
Ophthalmology
635 W 165TH ST, SUITE 104
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1154657112 (212) 305-2241

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 7

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
164 services138 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
151 services135 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
105 services82 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
72 services68 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
57 services56 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%142 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
1%277 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. BARBARA WORMSER VERCESI RN
Registered Nurse
40 WATERSIDE PLZ, APT 19K
NEW YORK, NY 10010
New York County (212) 686-9124
MONA ZAHEDI DDS
Student in an Organized Health Care Education/Training Program
40 WATERSIDE PLZ, 12C
NEW YORK, NY 10010
New York County (609) 501-6364

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 James Kelly's NPI number?

The NPI number for James Kelly is 1033364476. It was assigned to this individual provider in the NPPES registry on November 26, 2008.

Where is James Kelly located?

James Kelly practices at 40 Waterside Plz Apt 5K, New York, NY 10010. The listed phone number is (212) 920-5835.

What is James Kelly's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Kelly enrolled in Medicare?

Yes. James Kelly 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 James Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kelly reassigns Medicare benefits to 3 organizations: Maayan Keshet MD PC (New York, NY), New York City Health And Hospitals Corporation (New York, NY) and Arthur M. Cotliar, MD PLLC (New York, NY). 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 James Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list James Kelly 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.

Is James Kelly affiliated with any hospitals?

According to CMS data, James Kelly is affiliated with Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.