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DR. KELLY JO DALTON O.D.
NPI 1932365137
Optometrist in Wilkes Barre, PA

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
675 BALTIMORE DRIVE, WILKES BARRE, PA 18702(570) 808-5441(570) 808-5371 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2020, Aug 25, 2016 (2 updates tracked since 2016).

About Dr. Kelly Jo Dalton O.d. NPPES

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

DR. KELLY JO DALTON O.D. (NPI 1932365137) is an individual optometrist in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OEG002107) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Pennsylvania College Of Optometry (2008).

NPPES Registry Identity

NPI1932365137
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY JO DALTONCredential: O.D.
Location Address675 BALTIMORE DRIVEWilkes Barre, PA 18702
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 808-5441
Fax(570) 808-5371
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2008
Enumeration DateAugust 6, 2008
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1932365137 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 PA · OEG002107
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.
675 BALTIMORE DRIVE, Wilkes Barre, PA 18702
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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

Dr. Kelly Jo Dalton O.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 ID2668650144
PECOS Enrollment IDI20160715000039
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 Kelly Dalton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.5 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300
Caring Community Health Center
4.3 mi
Federally Qualified Health Center (FQHC)
175 S WILKES BARRE BLVD
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
NPI 1679038293 (570) 829-2621
Us Health Dept Of Health & Human Services
1,457 mi
Rural Health
107 H STREET EAST
Poplar, MT 59255
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
NPI 1972694602 (406) 768-3491

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 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.
101 services98 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).
20 services19 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES

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

DR. LISA MARIA JACOB M.D.
Plastic Surgery
675 BALTIMORE DRIVE
WILKES BARRE, PA 18702
Luzerne County (570) 808-6400

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 Dalton's NPI number?

The NPI number for Kelly Dalton is 1932365137. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Kelly Dalton located?

Kelly Dalton practices at 675 Baltimore Drive, Wilkes Barre, PA 18702. The listed phone number is (570) 808-5441.

What is Kelly Dalton's specialty?

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

Is Kelly Dalton enrolled in Medicare?

Yes. Kelly Dalton 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 Kelly Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dalton reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Wilkes Barre, PA), Caring Community Health Center (Wilkes Barre, PA) and Us Health Dept Of Health & Human Services (Poplar, MT). 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 Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Dalton affiliated with any hospitals?

According to CMS data, Kelly Dalton is affiliated with Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Dalton was last updated on August 31, 2020. 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.