DR. POLLY A NELSON O.D.
NPI 1295766657
Optometrist in Savannah, MO

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
502 SOUTH US 71 HWY, STE 1, SAVANNAH, MO 64485(816) 324-2020(816) 324-6407 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Polly A Nelson O.d. NPPES

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

DR. POLLY A NELSON O.D. (NPI 1295766657) is an individual optometrist in Savannah, Missouri, licensed in Missouri (TO2956) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1990).

NPPES Registry Identity

NPI1295766657
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. POLLY A NELSONCredential: O.D.
Location Address502 SOUTH US 71 HWY, STE 1Savannah, MO 64485-2041
Mailing Address502 South Us 71 Hwy, Ste 1Savannah, MO 64485-2041 · (816) 324-2020 · Fax (816) 324-6407
Fax(816) 324-6407
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1990
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 28, 2010
NPI 1295766657 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 MO · TO2956
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.

502 SOUTH US 71 HWY, Savannah, MO 64485

Other Identifiers 3

Medicare PIN000A485MO
Other22793-015MO · Blue Cross Blue Shield Of
Medicaid312965007MO

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

Dr. Polly A Nelson 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 ID648468603
PECOS Enrollment IDI20101217000685
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.
42 services41 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.
24 services24 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64485 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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 Polly Nelson's NPI number?

The NPI number for Polly Nelson is 1295766657. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Polly Nelson located?

Polly Nelson practices at 502 South Us 71 Hwy Ste 1, Savannah, MO 64485. The listed phone number is (816) 324-2020.

What is Polly Nelson's specialty?

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

Is Polly Nelson enrolled in Medicare?

Yes. Polly Nelson 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 Polly Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Polly Nelson 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 Polly Nelson was last updated on June 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.