DR. KELLY SHANNON KEEFE M.D.
NPI 1114987658
Ophthalmology in San Diego, CA

Q: What is Kelly Keefe's NPI number?

The NPI number for Kelly Keefe is 1114987658. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Kelly Keefe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Keefe was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 March 27, 2006PECOS EnrolledAccepts Medicare Assignment

3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103(619) 532-6702(619) 532-7272 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kelly Shannon Keefe M.d. NPPES

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

DR. KELLY SHANNON KEEFE M.D. (NPI 1114987658) is an individual ophthalmology provider in San Diego, California, licensed in California (A48069) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1985).

NPPES Registry Identity

NPI1114987658

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. KELLY SHANNON KEEFECredential: M.D.

Location Address3969 4TH AVE, SUITE 301San Diego, CA 92103

Mailing Address3969 4th Ave, Suite 301San Diego, CA 92103 · (619) 291-6191 · Fax (619) 291-0049

Phone(619) 532-6702

Fax(619) 532-7272

Sole ProprietorYes

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1985

Enumeration DateMarch 27, 2006

Last NPPES UpdateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1114987658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A48069

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.

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License A48069 (CA)

3969 4TH AVE, San Diego, CA 92103

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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 Shannon Keefe 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 ID3072694173

PECOS Enrollment IDI20080115000378, I20140210000004

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 3

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.

47 services42 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.

36 services24 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 20

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

BARBARA DENYSIAK M.D.

Legal Medicine

3969 4TH AVE, STE. 203
SAN DIEGO, CA 92103

San Diego County (619) 294-6500

DR. MICHAEL T COURIS MD

Ophthalmology

3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103

San Diego County (619) 291-6191

RUSSELL P EDWARDS, MD APC

Ophthalmology

3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103

San Diego County (619) 291-6191

UROLOGICAL ASSOCIATES OF SAN DIEGO, A MEDICAL CORPORATION

Urology

3969 4TH AVE, SUITE 202
SAN DIEGO, CA 92103

San Diego County (619) 260-0060

COURIQUE OPTICAL

Ophthalmology

3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103

San Diego County (619) 298-4200

RICHARD R BURNS MD INC

Specialist

3969 4TH AVE, SUITE 300
SAN DIEGO, CA 92103

San Diego County (858) 354-1809

STEVEN GIANG OD, INC.

Optometrist

3969 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 291-6191

MARIANNE G ROCHESTER M.D.

Urology

3969 4TH AVE, SUITE 202
SAN DIEGO, CA 92103

San Diego County (619) 260-0060

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 Keefe's NPI number?

The NPI number for Kelly Keefe is 1114987658. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Kelly Keefe located?

Kelly Keefe practices at 3969 4th Ave Suite 301, San Diego, CA 92103. The listed phone number is (619) 532-6702.

What is Kelly Keefe's specialty?

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

Is Kelly Keefe enrolled in Medicare?

Yes. Kelly Keefe 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.

When was this NPI record last updated?

The NPPES record for Kelly Keefe was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.