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MRS. KELSIE MORGAN GRAFFAGNINO OD
NPI 1770108573
Optometrist in Birmingham, AL

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
85.62/100
CMS Quality Rating
3431 COLONNADE PKWY STE 100, BIRMINGHAM, AL 35243(205) 967-2020(205) 967-7120 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2021, Feb 12, 2021, Jun 11, 2020 (3 updates tracked since 2020).

About Mrs. Kelsie Morgan Graffagnino Od NPPES

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

MRS. KELSIE MORGAN GRAFFAGNINO OD (NPI 1770108573) is an individual optometrist in Birmingham, Alabama, licensed in Alabama (S-E48-TA-B92) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2020).

NPPES Registry Identity

NPI1770108573
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. KELSIE MORGAN GRAFFAGNINOCredential: OD
Location Address3431 COLONNADE PKWY STE 100Birmingham, AL 35243-3338
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(205) 967-2020
Fax(205) 967-7120
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2020
Enumeration DateJune 8, 2020
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1770108573 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 AL · S-E48-TA-B92
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.
3431 COLONNADE PKWY STE 100, Birmingham, AL 35243
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Other Names 1

Other Name (5)Mrs. Kelsie Morgan Graffagnino Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelsie Morgan Graffagnino 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 ID7315352333
PECOS Enrollment IDI20210224001259
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelsie Graffagnino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myeyedr Optometry Of Alabama LLC
Same address
Optometrist
3431 COLONNADE PKWY
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 77 clinicians in this Medicare group
NPI 1922518943 (205) 967-2020
Perspective Eye Care And Eye Wear LLC
51 mi
Optometrist
421 3RD AVE SE, SUITE 140
Cullman, AL 35055
  • Reassigned Medicare billing, Alabama enrollment
NPI 1922736651 (256) 692-1464
360care Services Of Al LLC
77 mi
Audiologist
150 S PERRY ST
Montgomery, AL 36104
  • Reassigned Medicare billing, Alabama enrollment
  • 34 clinicians in this Medicare group
NPI 1710493176 (502) 244-2441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
19 services18 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.
18 services13 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.
17 services17 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

85.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.67
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DAISY KIPKEMBOI OD
Optometrist
3431 COLONNADE PKWY STE 100
BIRMINGHAM, AL 35243
Jefferson County (205) 697-2020

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 Kelsie Graffagnino's NPI number?

The NPI number for Kelsie Graffagnino is 1770108573. It was assigned to this individual provider in the NPPES registry on June 8, 2020. The provider is also known as Mrs. Kelsie Morgan Graffagnino Od.

Where is Kelsie Graffagnino located?

Kelsie Graffagnino practices at 3431 Colonnade Pkwy Ste 100, Birmingham, AL 35243. The listed phone number is (205) 967-2020.

What is Kelsie Graffagnino's specialty?

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

Is Kelsie Graffagnino enrolled in Medicare?

Yes. Kelsie Graffagnino 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.

Which organizations bill Medicare for Kelsie Graffagnino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Graffagnino reassigns Medicare benefits to 3 organizations: Myeyedr Optometry Of Alabama LLC (Birmingham, AL), Perspective Eye Care And Eye Wear LLC (Cullman, AL) and 360care Services Of Al LLC (Montgomery, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsie Graffagnino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsie Graffagnino accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Kelsie Graffagnino 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 Kelsie Graffagnino was last updated on December 21, 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.