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DR. KELLY M MACDONALD OD
NPI 1487726469
Optometrist in Nashua, NH

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
85.12/100
CMS Quality Rating
505 W HOLLIS ST, NASHUA, NH 03062(603) 882-0311(603) 386-0046 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly M Macdonald Od NPPES

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

DR. KELLY M MACDONALD OD (NPI 1487726469) is an individual optometrist in Nashua, New Hampshire, licensed in New Hampshire (0721) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2001).

NPPES Registry Identity

NPI1487726469
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY M MACDONALDCredential: OD
Location Address505 W HOLLIS STNashua, NH 03062-1358
Mailing Address505 W Hollis StNashua, NH 03062-1358 · (603) 882-0311 · Fax (603) 386-0046
Phone(603) 882-0311
Fax(603) 386-0046
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2001
Enumeration DateNovember 14, 2006
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1487726469 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 NH · 0721
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.
505 W HOLLIS ST, Nashua, NH 03062
Open in Google Maps ↗

Other Identifiers 3

Other7720United Health Care
Medicaid30352338NH
Other7720Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Dr. Kelly M Macdonald Od 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 ID5496940116
PECOS Enrollment IDI20101108001139
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 11

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.
306 services306 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.
282 services270 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
222 services75 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.
174 services117 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.
162 services123 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.
133 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03062 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.25
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%69 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
98%129 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
72%32 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
95%2,147 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%117 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%597 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HEALTHY EVER AFTER, LLC
Clinic/Center
505 W HOLLIS ST
NASHUA, NH 03062
Hillsborough County (603) 879-0274
COLLEEN MCNULTY GREBUS NP
Nurse Practitioner (Family)
505 W HOLLIS ST, SUITE 111
NASHUA, NH 03062
Hillsborough County (603) 579-9648
MS. PATRICIA A. WORSLEY MSMHC
Counselor (Mental Health)
505 W HOLLIS ST, UNIT 207A
NASHUA, NH 03062
Hillsborough County (603) 930-0441
DR. JOHN CAMERON MACHELL DMD
Dentist
505 W HOLLIS ST, SUITE 202
NASHUA, NH 03062
Hillsborough County (603) 882-9881
JACLYN ANN MINAR ZIEGLER PT
Physical Therapist
505 W HOLLIS ST, SUITE 104
NASHUA, NH 03062
Hillsborough County (603) 886-2710
DR. ELLIOT F LASKY OD
Optometrist
505 W HOLLIS ST
NASHUA, NH 03062
Hillsborough County (603) 882-0311
DR. HUGH RICHARD PHILLIS DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
505 W HOLLIS ST, SUITE 201
NASHUA, NH 03062
Hillsborough County (603) 889-2520
DR. DAVID J HELFMAN OD
Optometrist
505 W HOLLIS ST
NASHUA, NH 03062
Hillsborough County (603) 882-0311

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 Macdonald's NPI number?

The NPI number for Kelly Macdonald is 1487726469. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Kelly Macdonald located?

Kelly Macdonald practices at 505 W Hollis St, Nashua, NH 03062. The listed phone number is (603) 882-0311.

What is Kelly Macdonald's specialty?

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

Is Kelly Macdonald enrolled in Medicare?

Yes. Kelly Macdonald 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 Macdonald accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Kelly Macdonald 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 Macdonald was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.