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DR. KELSEA DIANE NAYLOR O.D.
NPI 1780033217
Optometrist in Carrollton, OH

Active since June 06, 2016PECOS Enrolled
113 N LISBON ST, CARROLLTON, OH 44615(330) 627-2430(330) 627-5681 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2023, Jan 15, 2021 (2 updates tracked since 2021).

About Dr. Kelsea Diane Naylor O.d. NPPES

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

DR. KELSEA DIANE NAYLOR O.D. (NPI 1780033217) is an individual optometrist in Carrollton, Ohio, licensed in Ohio (6486) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2016).

NPPES Registry Identity

NPI1780033217
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELSEA DIANE NAYLORCredential: O.D.
Location Address113 N LISBON STCarrollton, OH 44615-1327
Mailing Address113 N Lisbon StCarrollton, OH 44615-1327 · (330) 627-2430 · Fax (330) 627-5681
Phone(330) 627-2430
Fax(330) 627-5681
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1780033217 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 OH · 6486
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.
113 N LISBON ST, Carrollton, OH 44615
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Other Identifiers 1

Medicaid0171174OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelsea Diane Naylor O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375835317
PECOS Enrollment IDI20160712000914
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 Reassignment

Medicare enrollment records show Kelsea Naylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fair Vision Inc
Same address
Optometrist
113 N LISBON ST
Carrollton, OH 44615
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1336153196 (330) 627-2430

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 3

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.
41 services38 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.
32 services28 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44615 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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%28 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

FAIR VISION INC
Optometrist
113 N LISBON ST
CARROLLTON, OH 44615
Carroll County (330) 627-2430
DR. GREGORY A FAIR O.D.
Optometrist
113 N LISBON ST
CARROLLTON, OH 44615
Carroll County (330) 627-2430

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 Kelsea Naylor's NPI number?

The NPI number for Kelsea Naylor is 1780033217. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Kelsea Naylor located?

Kelsea Naylor practices at 113 N Lisbon St, Carrollton, OH 44615. The listed phone number is (330) 627-2430.

What is Kelsea Naylor's specialty?

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

Is Kelsea Naylor enrolled in Medicare?

Yes. Kelsea Naylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsea Naylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsea Naylor reassigns Medicare benefits to Fair Vision Inc (Carrollton, OH). The 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 Kelsea Naylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsea Naylor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Kelsea Naylor 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 Kelsea Naylor was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.