KELSEY DURBIN MD
NPI 1699216820
Ophthalmology in Mount Vernon, OH

Q: What is Kelsey Durbin's NPI number?

The NPI number for Kelsey Durbin is 1699216820. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Kelsey Durbin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Durbin was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

1355 YAUGER RD, MOUNT VERNON, OH 43050(740) 397-2425 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2021, Jun 9, 2021, May 23, 2018 and 1 more (4 updates tracked since 2017).

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About Kelsey Durbin Md NPPES

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

KELSEY DURBIN MD (NPI 1699216820) is an individual ophthalmology provider in Mount Vernon, Ohio, licensed in Ohio (35.143523) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699216820

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameKELSEY DURBINCredential: MD

Location Address1355 YAUGER RDMount Vernon, OH 43050-9233

Mailing Address1355 Yauger RdMount Vernon, OH 43050-9233

Phone(740) 397-2425

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2017

Enumeration DateMarch 20, 2017

Last NPPES UpdateNovember 12, 20214 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1699216820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 35.143523

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.

1355 YAUGER RD, Mount Vernon, OH 43050

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Secondary Practice Locations 2

Location 1697 Thomas LnColumbus, OH 43214-3931 · Phone (614) 566-5414 · Fax (614) 533-0433

Location 2110 Irving St NWWashington, DC 20010 · Phone (202) 877-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Kelsey Durbin Md 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 ID8729358395

PECOS Enrollment IDI20211026003239

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 14

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.

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.

180 services77 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.

137 services113 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.

119 services114 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.

99 services79 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).

53 services50 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.

50 services44 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.

48 services48 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.

48 services45 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

44 services39 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

40 services27 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.

39 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360040

Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 3

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

CENTRAL OHIO EYE SURGEONS, INC

Eyewear Supplier

1355 YAUGER RD
MOUNT VERNON, OH 43050

Knox County (740) 397-2425

KNOX COMMUNITY HOSPITAL

Eyewear Supplier

1355 YAUGER RD
MOUNT VERNON, OH 43050

Knox County (740) 326-6697

CENTRAL OHIO EYE SURGEONS INC

Ophthalmology

1355 YAUGER RD
MOUNT VERNON, OH 43050

Knox County (740) 397-2425

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 Kelsey Durbin's NPI number?

The NPI number for Kelsey Durbin is 1699216820. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Kelsey Durbin located?

Kelsey Durbin practices at 1355 Yauger Rd, Mount Vernon, OH 43050. The listed phone number is (740) 397-2425.

What is Kelsey Durbin's specialty?

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

Is Kelsey Durbin enrolled in Medicare?

Yes. Kelsey Durbin 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 Kelsey Durbin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Kelsey Durbin 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 Kelsey Durbin affiliated with any hospitals?

According to CMS data, Kelsey Durbin is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Durbin was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.