KELLEY BOHM M.D.
NPI 1609238443
Ophthalmology in Chicago, IL

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 296-8000 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Dec 19, 2021, Oct 14, 2021 and 3 more (6 updates tracked since 2016).

About Kelley Bohm M.d. NPPES

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

KELLEY BOHM M.D. (NPI 1609238443) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036.157398) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Of Buffalo, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609238443
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKELLEY BOHMCredential: M.D.
Location Address836 W WELLINGTON AVEChicago, IL 60657-5147
Mailing Address2640 183rd StHomewood, IL 60430-2914 · (773) 577-6292
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 6, 20246 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1609238443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IL · 036.157398 Licensed in NY · 332035
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.

836 W WELLINGTON AVE, Chicago, IL 60657

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

Kelley Bohm M.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 ID7618227547
PECOS Enrollment IDI20250109001575
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 9

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 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.
143 services98 patients
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.
113 services110 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).
64 services58 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.
52 services41 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.
51 services46 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.
32 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Internal Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Obstetrics & Gynecology
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pharmacist
836 W WELLINGTON AVE
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Pediatrics (Neonatal-Perinatal Medicine)
836 W WELLINGTON AVE, ROOM 3614
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE, EMERGENCY DEPARTMENT
CHICAGO, IL 60657
Emergency Medicine
836 W WELLINGTON AVE
CHICAGO, IL 60657

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 Kelley Bohm's NPI number?

The NPI number for Kelley Bohm is 1609238443. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Kelley Bohm located?

Kelley Bohm practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 296-8000.

What is Kelley Bohm's specialty?

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

Is Kelley Bohm enrolled in Medicare?

Yes. Kelley Bohm 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.

Is Kelley Bohm affiliated with any hospitals?

According to CMS data, Kelley Bohm is affiliated with Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Kelley Bohm was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.