DAVID ARNOLD KELLY
NPI 1386264760
Ophthalmology in San Francisco, CA

Active since April 25, 2020PECOS EnrolledAccepts Medicare Assignment
1001 POTRERO AVENUE, BUILDING 5, 4M, SAN FRANCISCO, CA 94110(628) 206-8025(628) 206-2681 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Apr 25, 2020 (2 updates tracked since 2020).

About David Arnold Kelly NPPES

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

DAVID ARNOLD KELLY (NPI 1386264760) is an individual ophthalmology provider in San Francisco, California, licensed in California (A203488) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2021).

NPPES Registry Identity

NPI1386264760
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDAVID ARNOLD KELLY
Location Address1001 POTRERO AVENUE, BUILDING 5, 4MSan Francisco, CA 94110-3518
Mailing AddressPo Box 743749Los Angeles, CA 90074-3749
Fax(628) 206-2681
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2021
Enumeration DateApril 25, 2020
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1386264760 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 · A203488
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.
1001 POTRERO AVENUE, San Francisco, CA 94110

Secondary Practice Location 1

Location 1417 NE 1st TerOklahoma City, OK 73104-4056 · Phone (405) 513-3332

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Arnold Kelly 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 ID5597279398
PECOS Enrollment IDI20250703002711
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

4

Medicare enrollment records show David Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1001 POTRERO AVE, BUILDING 5, WARD 1B
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Radiology (Diagnostic Radiology)
1001 POTRERO AVENUE, BLDG. 5, 1ST FLOOR
SAN FRANCISCO, CA 94110
Psychologist (Clinical)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
Nuclear Medicine
1001 POTRERO AVENUE, RM G100
SAN FRANCISCO, CA 94110
Internal Medicine
1001 POTRERO AVENUE, RM 5H22
SAN FRANCISCO, CA 94110
Internal Medicine (Gastroenterology)
1001 POTRERO AVENUE, BUILDING 5, 3RD FLOOR, SUITE 3D
SAN FRANCISCO, CA 94110
Internal Medicine
1001 POTRERO AVENUE, BLDG 100 RM 350
SAN FRANCISCO, CA 94110
Psychiatry & Neurology (Psychiatry)
1001 POTRERO AVENUE, RM 7M
SAN FRANCISCO, CA 94110
Internal Medicine (Nephrology)
1001 POTRERO AVENUE, WARD 17 DIALYSIS CLINIC, BLDG. 100, 3RD FL.
SAN FRANCISCO, CA 94110

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 David Kelly's NPI number?

The NPI number for David Kelly is 1386264760. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is David Kelly located?

David Kelly practices at 1001 Potrero Avenue Building 5, 4M, San Francisco, CA 94110. The listed phone number is (628) 206-8025.

What is David Kelly's specialty?

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

Is David Kelly enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kelly reassigns Medicare benefits to 4 organizations: City & County Of San Francisco (San Francisco, CA), University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 David Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Kelly was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.