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GAIL JOSLIN KELLEY OD
NPI 1548596356
Optometrist in Wilmington, NC

Active since October 29, 2009PECOS EnrolledAccepts Medicare Assignment
90.57/100
CMS Quality Rating
5101 MAKO DR, WILMINGTON, NC 28409(937) 726-6260 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018, Nov 15, 2017 (3 updates tracked since 2017).

About Gail Joslin Kelley Od NPPES

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

GAIL JOSLIN KELLEY OD (NPI 1548596356) is an individual optometrist in Wilmington, North Carolina, licensed in North Carolina (2157) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Ohio State University - College Of Optometry (2009).

NPPES Registry Identity

NPI1548596356
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGAIL JOSLIN KELLEYCredential: OD
Location Address5101 MAKO DRWilmington, NC 28409-3203
Mailing Address5101 Mako DrWilmington, NC 28409-3203 · (937) 726-6260
Phone(937) 726-6260
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2009
Enumeration DateOctober 29, 2009
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1548596356 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 NC · 2157
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.
5101 MAKO DR, Wilmington, NC 28409
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Secondary Practice Location 1

Location 15619 Carolina Beach RdWilmington, NC 28412-2813 · Phone (910) 790-0212 · Fax (910) 798-2992

Other Identifiers 3

OtherP00906668NC · Railroad Medicare
Medicaid5914224NC
Other09300NC · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Gail Joslin Kelley 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 ID6204977689
PECOS Enrollment IDI20100107000293
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 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.

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.
311 services307 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
266 services129 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.
209 services182 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.
191 services97 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.
110 services110 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.
91 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28409 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

90.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.58

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 Gail Kelley's NPI number?

The NPI number for Gail Kelley is 1548596356. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Gail Kelley located?

Gail Kelley practices at 5101 Mako Dr, Wilmington, NC 28409. The listed phone number is (937) 726-6260.

What is Gail Kelley's specialty?

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

Is Gail Kelley enrolled in Medicare?

Yes. Gail Kelley 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 Gail Kelley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list Gail Kelley 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 Gail Kelley was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.