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KELLY M. SEIDLER O.D
NPI 1881180644
Optometrist in Frederick, MD

Active since July 05, 2018PECOS Enrolled
74.39/100
CMS Quality Rating
161 THOMAS JOHNSON DR STE 275, FREDERICK, MD 21702(301) 320-9268(301) 620-9228 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2020, Jul 5, 2018 (2 updates tracked since 2018).

About Kelly M. Seidler O.d NPPES

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

KELLY M. SEIDLER O.D (NPI 1881180644) is an individual optometrist in Frederick, Maryland, licensed in Maryland (TA2768) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881180644
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY M. SEIDLERCredential: O.D
Location Address161 THOMAS JOHNSON DR STE 275Frederick, MD 21702-4314
Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-6423
Phone(301) 320-9268
Fax(301) 620-9228
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2018
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1881180644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MD · TA2768✔ Licensed in PA · OEG003409
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.
161 THOMAS JOHNSON DR STE 275, Frederick, MD 21702
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17630 Germantown Ave Ste 4Philadelphia, PA 19118-3529 · Phone (215) 276-6000 · Fax (215) 276-1329
Location 23300 Henry Ave Ste 104Philadelphia, PA 19129-1121 · Phone (215) 276-6000 · Fax (215) 276-1329
Location 31200 W Godfrey AvePhiladelphia, PA 19141-3323 · Phone (215) 276-6000 · Fax (215) 276-1329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M. Seidler O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931456217
PECOS Enrollment IDI20201201000505
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

2

Medicare enrollment records show Kelly Seidler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
32 mi
Body Imaging
10840 LITTLE PATUXENT PKWY
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1285453795 (410) 933-0000
Johns Hopkins University
42 mi
Optometrist
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 67 clinicians in this Medicare group
NPI 1316750508 (703) 462-1777

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 10

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 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.
168 services166 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.
123 services105 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.
98 services84 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.
79 services79 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.
69 services59 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).
69 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

JOHNS HOPKINS UNIVERSITY
Internal Medicine
161 THOMAS JOHNSON DR STE 275
FREDERICK, MD 21702
Frederick County (301) 620-9268
JOHNS HOPKINS UNIVERSITY
Optometrist
161 THOMAS JOHNSON DR STE 275
FREDERICK, MD 21702
Frederick County (301) 620-9268
IMANE TARIB MD
Ophthalmology (Cornea and External Diseases Specialist)
161 THOMAS JOHNSON DR STE 275
FREDERICK, MD 21702
Frederick County (301) 620-9268

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 Kelly Seidler's NPI number?

The NPI number for Kelly Seidler is 1881180644. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Kelly Seidler located?

Kelly Seidler practices at 161 Thomas Johnson Dr Ste 275, Frederick, MD 21702. The listed phone number is (301) 320-9268.

What is Kelly Seidler's specialty?

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

Is Kelly Seidler enrolled in Medicare?

Yes. Kelly Seidler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Seidler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Seidler reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Columbia, MD) and Johns Hopkins University (Arlington, VA). 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 Kelly Seidler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Seidler was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.