DR. DOUGLAS EDWARD KELLEY OD
NPI 1033376090
Optometrist in Beloit, WI

Q: What is Douglas Kelley's NPI number?

The NPI number for Douglas Kelley is 1033376090. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Douglas Kelley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Kelley was last updated on July 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment

540 E GRAND AVE, BELOIT, WI 53511(608) 365-8575(608) 362-2625 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Douglas Edward Kelley Od NPPES

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

DR. DOUGLAS EDWARD KELLEY OD (NPI 1033376090) is an individual optometrist in Beloit, Wisconsin, licensed in Wisconsin (3136-035) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2007).

NPPES Registry Identity

NPI1033376090

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DOUGLAS EDWARD KELLEYCredential: OD

Location Address540 E GRAND AVEBeloit, WI 53511-6314

Mailing Address531 E Grand AveBeloit, WI 53511-6313 · (608) 365-8575 · Fax (608) 362-2655

Phone(608) 365-8575

Fax(608) 362-2625

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2007

Enumeration DateMay 19, 2008

Last NPPES UpdateJuly 5, 2016

✔ NPI 1033376090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 3136-035

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

540 E GRAND AVE, Beloit, WI 53511

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Other Identifiers 1

Medicare PINWI2416001WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Edward Kelley 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.

PECOS PAC ID2769511385

PECOS Enrollment IDI20100520000129

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.

Areas of Expertise CMS Part B claims 10

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.

211 services210 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 services150 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

123 services110 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

71 services57 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.

69 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY M TOWNE APNP

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