KELLY ANNE WILLIAMSON M.D.
NPI 1114286614
Ophthalmology in Philadelphia, PA

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
219 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107(215) 762-5612(215) 762-5602 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anne Williamson M.d. NPPES

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

KELLY ANNE WILLIAMSON M.D. (NPI 1114286614) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD457807) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Temple University School Of Medicine (2012).

NPPES Registry Identity

NPI1114286614
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKELLY ANNE WILLIAMSONCredential: M.D.
Location Address219 N BROAD ST, 3RD FLOORPhiladelphia, PA 19107-1519
Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1320 · (215) 255-7822 · Fax (215) 255-7825
Fax(215) 762-5602
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateMay 25, 2016
NPI 1114286614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD457807
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.
219 N BROAD ST, Philadelphia, PA 19107

Other Names 1

Former Name (1)Kelly Anne Kemnetz M.d.

Accepted 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

Kelly Anne Williamson 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 ID8729379979
PECOS Enrollment IDI20160620001840
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 15

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.

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).
358 services266 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.
311 services310 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.
311 services226 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.
310 services251 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
138 services102 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.
120 services76 patients

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Nephrology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
219 N BROAD ST, 7TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Internal Medicine (Sleep Medicine)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine
219 N BROAD ST, 6TH FLOOR
PHILA, PA 19107

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 Williamson's NPI number?

The NPI number for Kelly Williamson is 1114286614. It was assigned to this individual provider in the NPPES registry on May 4, 2012. The provider is also known as Kelly Anne Kemnetz M.D..

Where is Kelly Williamson located?

Kelly Williamson practices at 219 N Broad St 3rd Floor, Philadelphia, PA 19107. The listed phone number is (215) 762-5612.

What is Kelly Williamson's specialty?

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

Is Kelly Williamson enrolled in Medicare?

Yes. Kelly Williamson 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 Williamson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Kelly Williamson 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 Kelly Williamson affiliated with any hospitals?

According to CMS data, Kelly Williamson is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Kelly Williamson was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.