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DR. KELLYN NACKE BELLSMITH M.D.
NPI 1801242573
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Portland, OR

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-3000(503) 494-4286 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Nov 11, 2021, May 7, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Kellyn Nacke Bellsmith M.d. NPPES

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

DR. KELLYN NACKE BELLSMITH M.D. (NPI 1801242573) is an individual pediatric ophthalmology and strabismus specialist in Portland, Oregon, licensed in Oregon (MD198586) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Missouri, Columbia School Of Medicine (2016).

NPPES Registry Identity

NPI1801242573
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameDR. KELLYN NACKE BELLSMITHCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-3000 · Fax (503) 494-4286
Phone(503) 494-3000
Fax(503) 494-4286
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateMarch 31, 20234 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1801242573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in OR · MD198586
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD198586 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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

Dr. Kellyn Nacke Bellsmith M.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 ID5092006130
PECOS Enrollment IDI20200529001407
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

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
46 services24 patients

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Kellyn Bellsmith's NPI number?

The NPI number for Kellyn Bellsmith is 1801242573. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Kellyn Bellsmith located?

Kellyn Bellsmith practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3000.

What is Kellyn Bellsmith's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Kellyn Bellsmith enrolled in Medicare?

Yes. Kellyn Bellsmith 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 Kellyn Bellsmith accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kellyn Bellsmith 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 Kellyn Bellsmith affiliated with any hospitals?

According to CMS data, Kellyn Bellsmith is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kellyn Bellsmith was last updated on March 31, 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.