DR. KELLY G ROSS O.D.
NPI 1073549200
Optometrist in Walnut Ridge, AR

Q: What is Kelly Ross's NPI number?

The NPI number for Kelly Ross is 1073549200. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Kelly Ross'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 Kelly Ross was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment

1014 W MAIN ST, WALNUT RIDGE, AR 72476(870) 886-2632(870) 886-1514 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly G Ross O.d. NPPES

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

DR. KELLY G ROSS O.D. (NPI 1073549200) is an individual optometrist in Walnut Ridge, Arkansas, licensed in Arkansas (2485) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1998).

NPPES Registry Identity

NPI1073549200

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KELLY G ROSSCredential: O.D.

Location Address1014 W MAIN STWalnut Ridge, AR 72476-1004

Mailing AddressPo Box 349Walnut Ridge, AR 72476-0349 · (870) 886-2632 · Fax (870) 886-1514

Phone(870) 886-2632

Fax(870) 886-1514

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1998

Enumeration DateJune 22, 2006

Last NPPES UpdateDecember 29, 2008

✔ NPI 1073549200 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 AR · 2485

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.

1014 W MAIN ST, Walnut Ridge, AR 72476

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Other Identifiers 3

Medicaid137089722AR

Medicare UPINU71292AR

Medicare ID-Type Unspecified49571AR · Optometry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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. Kelly G Ross O.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 ID3870540271

PECOS Enrollment IDI20050407000764

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 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.

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.

141 services141 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

50 services32 patients

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.

41 services41 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

39 services35 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

21 services21 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72476 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

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.

SOUTHERN EYE ASSOCIATES, LTD

Optometrist

1014 W MAIN ST
WALNUT RIDGE, AR 72476

Lawrence County (870) 886-2632

KELLY G ROSS OD PA

Optometrist

1014 W MAIN ST
WALNUT RIDGE, AR 72476

Lawrence County (870) 886-2632

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 Ross's NPI number?

The NPI number for Kelly Ross is 1073549200. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Kelly Ross located?

Kelly Ross practices at 1014 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-2632.

What is Kelly Ross's specialty?

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

Is Kelly Ross enrolled in Medicare?

Yes. Kelly Ross 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.

What insurance does Kelly Ross accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 11 other insurers list Kelly Ross 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 Ross was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.