THOMAS M KELLY O.D.
NPI 1285730986
Optometrist in Bay Village, OH

Q: What is Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1285730986. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Thomas Kelly'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 Thomas Kelly was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 16, 2006PECOS EnrolledAccepts Medicare Assignment

570 DOVER CENTER RD, BAY VILLAGE, OH 44140(440) 871-1139(440) 871-0222 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Thomas M Kelly O.d. NPPES

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

THOMAS M KELLY O.D. (NPI 1285730986) is an individual optometrist in Bay Village, Ohio, licensed in Ohio (3675 T836) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1285730986

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTHOMAS M KELLYCredential: O.D.

Location Address570 DOVER CENTER RDBay Village, OH 44140-2361

Mailing Address457 Dover Center RdBay Village, OH 44140-2357 · (440) 871-1139 · Fax (440) 871-0222

Phone(440) 871-1139

Fax(440) 871-0222

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateSeptember 16, 2006

Last NPPES UpdateOctober 1, 2014

✔ NPI 1285730986 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 OH · 3675 T836

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.

570 DOVER CENTER RD, Bay Village, OH 44140

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Other Identifiers 3

Other341622411OH · Tax Id Number

Medicaid0528094OH

Medicare ID-Type Unspecified0542481OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Thomas M Kelly 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 ID8224923339

PECOS Enrollment IDI20040218000244

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2117710

Thomas M Kelly Od Inc · Bay Village, OH

Expired · Aug 22, 2026

CLIA Number36D2117710

Laboratory TypePractitioner Other

Certificate Effective DateAugust 23, 2024

Certificate Expiration DateAugust 22, 2026

Laboratory DirectorThomas M. Kelly

Laboratory Phone(440) 871-1139

Laboratory LocationThomas M Kelly Od Inc570 Dover Center Road, Bay Village, OH 44140

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

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.

1,260 services11 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.

265 services263 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.

193 services139 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.

111 services102 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.

95 services80 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.

87 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44140 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 2

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

KAREN ELIZABETH FROMBACH O.D.

Optometrist

570 DOVER CENTER RD
BAY VILLAGE, OH 44140

Cuyahoga County (440) 871-1139

ABBEY MARIE ZIMMERMAN O.D.

Optometrist

570 DOVER CENTER RD
BAY VILLAGE, OH 44140

Cuyahoga County (440) 871-1139

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1285730986. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Thomas Kelly located?

Thomas Kelly practices at 570 Dover Center Rd, Bay Village, OH 44140. The listed phone number is (440) 871-1139.

What is Thomas Kelly's specialty?

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

Is Thomas Kelly enrolled in Medicare?

Yes. Thomas Kelly 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 Thomas Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 3 other insurers list Thomas Kelly 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 Thomas Kelly was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.