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KELLI PAYNE O.D.
NPI 1275083388
Optometrist in Evansville, IN

Active since October 12, 2016PECOS Enrolled
5405 PEARL DR, #4, EVANSVILLE, IN 47712(812) 426-2066 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 17, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Kelli Payne O.d. NPPES

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

KELLI PAYNE O.D. (NPI 1275083388) is an individual optometrist in Evansville, Indiana, licensed in Indiana (18004000B) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1275083388
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLI PAYNECredential: O.D.
Location Address5405 PEARL DR, #4Evansville, IN 47712
Mailing Address5405 Pearl Dr Ste 4Evansville, IN 47712-8102 · (812) 426-2066 · Fax (812) 426-1086
Phone(812) 426-2066
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateOctober 12, 2016
Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration
✔ NPI 1275083388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18004000B✔ Licensed in IN · 18004000A
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.
5405 PEARL DR, Evansville, IN 47712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Kelli Payne O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325329337
PECOS Enrollment IDI20230128000465
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

2

Medicare enrollment records show Kelli Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Eye Care, PLLC
33 mi
Optometrist
411 PARK PLAZA DR
Owensboro, KY 42301
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1437143849 (270) 683-2020
Family First Vision Care Kentucky, LLC
182 mi
Optometrist
614 BUTTERMILK PIKE
Fort Mitchell, KY 41017
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group
NPI 1396396750 (859) 320-0221

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 6

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.

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.
141 services141 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.
87 services86 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.
54 services52 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.
39 services34 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.
18 services13 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47712 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. CHRISTINA LYNN COTTINGHAM OD
Optometrist
5405 PEARL DR, SUITE 4
EVANSVILLE, IN 47712
Vanderburgh County (812) 426-2066

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 Kelli Payne's NPI number?

The NPI number for Kelli Payne is 1275083388. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Kelli Payne located?

Kelli Payne practices at 5405 Pearl Dr #4, Evansville, IN 47712. The listed phone number is (812) 426-2066.

What is Kelli Payne's specialty?

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

Is Kelli Payne enrolled in Medicare?

Yes. Kelli Payne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelli Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Payne reassigns Medicare benefits to 2 organizations: Advantage Eye Care, PLLC (Owensboro, KY) and Family First Vision Care Kentucky, LLC (Fort Mitchell, KY). 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 Kelli Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Payne accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Kelli Payne 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 Kelli Payne was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.