KELLEY HAWKINS MD
NPI 1790198158
Ophthalmology in Fresno, CA

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
89.94/100
CMS Quality Rating
7075 N SHARON AVE, FRESNO, CA 93720(559) 486-2000 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2019, May 21, 2019, Jun 22, 2018 (3 updates tracked since 2018).

About Kelley Hawkins Md NPPES

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

KELLEY HAWKINS MD (NPI 1790198158) is an individual ophthalmology provider in Fresno, California, licensed in California (A143169) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1790198158
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKELLEY HAWKINSCredential: MD
Location Address7075 N SHARON AVEFresno, CA 93720-3329
Mailing Address7075 N Sharon AveFresno, CA 93720-3329
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateJune 3, 2014
Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration
NPI 1790198158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A143169
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.
7075 N SHARON AVE, Fresno, CA 93720

Accepted 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

Kelley Hawkins 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 ID547515058
PECOS Enrollment IDI20180622002638
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 16

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.

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.
593 services259 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.
542 services354 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.
362 services208 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.
234 services224 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).
133 services123 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.
128 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

89.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.11
Promoting Interoperability100
Improvement Activities40
Cost73.37

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.

Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Optometrist
7075 N SHARON AVE
FRESNO, CA 93720
Ophthalmology
7075 N SHARON AVE
FRESNO, CA 93720

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 Hawkins's NPI number?

The NPI number for Kelley Hawkins is 1790198158. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Kelley Hawkins located?

Kelley Hawkins practices at 7075 N Sharon Ave, Fresno, CA 93720. The listed phone number is (559) 486-2000.

What is Kelley Hawkins's specialty?

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

Is Kelley Hawkins enrolled in Medicare?

Yes. Kelley Hawkins 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 Kelley Hawkins accept?

Health plans from Providence Health Plan list Kelley Hawkins 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 Kelley Hawkins was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.