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KELLY TARTER
NPI 1407895246
Optometrist in Greenville, KY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
224 HOPKINSVILLE ST, GREENVILLE, KY 42345(270) 338-2400(270) 338-2402 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Tarter NPPES

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

KELLY TARTER (NPI 1407895246) is an individual optometrist in Greenville, Kentucky, licensed in Kentucky (KY1046) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1984).

NPPES Registry Identity

NPI1407895246
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKELLY TARTER
Location Address224 HOPKINSVILLE STGreenville, KY 42345-1214
Mailing Address224 Hopkinsville StGreenville, KY 42345-1214 · (270) 338-2400 · Fax (270) 338-2402
Phone(270) 338-2400
Fax(270) 338-2402
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1984
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1407895246 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 KY · KY1046
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.
224 HOPKINSVILLE ST, Greenville, KY 42345
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Other Identifiers 1

Medicaid77010460KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.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

Kelly Tarter 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 ID2860406261
PECOS Enrollment IDI20060206000208
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 2

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.
105 services105 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.
49 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42345 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Kelly Tarter's NPI number?

The NPI number for Kelly Tarter is 1407895246. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kelly Tarter located?

Kelly Tarter practices at 224 Hopkinsville St, Greenville, KY 42345. The listed phone number is (270) 338-2400.

What is Kelly Tarter's specialty?

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

Is Kelly Tarter enrolled in Medicare?

Yes. Kelly Tarter 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 Kelly Tarter accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Kelly Tarter 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 Kelly Tarter was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.