1. Home
  2. Directory
  3. Minnesota
  4. Detroit Lakes
  5. Optometrist
  6. NPI Profile

BRENDAN S KELLY O.D.
NPI 1689873275
Optometrist in Detroit Lakes, MN

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1234 WASHINGTON AVE STE A, DETROIT LAKES, MN 56501(218) 846-2258 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Apr 25, 2024, Aug 6, 2020 (3 updates tracked since 2020).

About Brendan S Kelly O.d. NPPES

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

BRENDAN S KELLY O.D. (NPI 1689873275) is an individual optometrist in Detroit Lakes, Minnesota, licensed in Minnesota (3999) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689873275
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRENDAN S KELLYCredential: O.D.
Location Address1234 WASHINGTON AVE STE ADetroit Lakes, MN 56501-3906
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(218) 846-2258
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2007
Enumeration DateJuly 13, 2007
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1689873275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MN · 3999✔ Licensed in CO · 2604✔ Licensed in ND · 666
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.
1234 WASHINGTON AVE STE A, Detroit Lakes, MN 56501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11720 University Dr SFargo, ND 58103-4940 · Phone (701) 461-5100 · Fax (701) 461-5124
Location 21717 University Dr SFargo, ND 58103-4939 · Phone (701) 461-5100 · Fax (701) 461-5124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan 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

Brendan S Kelly O.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 ID3870687148
PECOS Enrollment IDI20081020000217, I20250617002239
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 8

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.
393 services392 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.
134 services116 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.
116 services94 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
77 services77 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).
55 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56501 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers18 claims18 services$59.68 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims26 services$56.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANFORD MEDICAL CENTER FARGO
Eyewear Supplier
1234 WASHINGTON AVE STE A
DETROIT LAKES, MN 56501
Becker County (218) 846-2000
DR. GINA HANSEN O.D.
Optometrist
1234 WASHINGTON AVE STE A
DETROIT LAKES, MN 56501
Becker County (218) 846-2000

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 Brendan Kelly's NPI number?

The NPI number for Brendan Kelly is 1689873275. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Brendan Kelly located?

Brendan Kelly practices at 1234 Washington Ave Ste A, Detroit Lakes, MN 56501. The listed phone number is (218) 846-2258.

What is Brendan Kelly's specialty?

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

Is Brendan Kelly enrolled in Medicare?

Yes. Brendan 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.

What insurance does Brendan Kelly accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan, Sanford Health Plan and Security Health Plan list Brendan Kelly 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.

Is Brendan Kelly affiliated with any hospitals?

According to CMS data, Brendan Kelly is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Brendan Kelly was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.