ELAINE KELLY MD
NPI 1982264206
Ophthalmology in Hammond, IN

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
6850 HOHMAN AVE, HAMMOND, IN 46324(219) 931-7509 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Aug 10, 2023, Jun 18, 2019 (3 updates tracked since 2019).

About Elaine Kelly Md NPPES

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

ELAINE KELLY MD (NPI 1982264206) is an individual ophthalmology provider in Hammond, Indiana, licensed in Indiana (0191235A) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Hofstra North Shore - Lij School Of Medicine (2019).

NPPES Registry Identity

NPI1982264206
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameELAINE KELLYCredential: MD
Location Address6850 HOHMAN AVEHammond, IN 46324-1410
Mailing Address1650 W Harrison StChicago, IL 60612-3800 · (312) 942-5000
Sole ProprietorNo
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1982264206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IN · 0191235A Licensed in IL · 125074492
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.
6850 HOHMAN AVE, Hammond, IN 46324

Secondary Practice Locations 3

Location 11650 W Harrison StChicago, IL 60612-3800 · Phone (312) 942-5000
Location 26836 Hohman AveHammond, IN 46324-1499 · Phone (219) 937-5063
Location 39797 Massachusetts StCrown Point, IN 46307-0278 · Phone (219) 736-2200 · Fax (219) 736-2222

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

Elaine Kelly 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 ID3577898170
PECOS Enrollment IDI20230822001967
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 15

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.
430 services402 patients
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.
300 services210 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.
283 services187 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.
264 services126 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.
211 services211 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.
198 services182 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46324 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.51
Improvement Activities40
Cost92.04

Other Providers at the Same Location NPPES 5

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

Ophthalmology
6850 HOHMAN AVE
HAMMOND, IN 46324
Durable Medical Equipment & Medical Supplies
6850 HOHMAN AVE
HAMMOND, IN 46324
Ophthalmology
6850 HOHMAN AVE
HAMMOND, IN 46324
Ophthalmology
6850 HOHMAN AVE
HAMMOND, IN 46324
Ophthalmology
6850 HOHMAN AVE
HAMMOND, IN 46324

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 Elaine Kelly's NPI number?

The NPI number for Elaine Kelly is 1982264206. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Elaine Kelly located?

Elaine Kelly practices at 6850 Hohman Ave, Hammond, IN 46324. The listed phone number is (219) 931-7509.

What is Elaine Kelly's specialty?

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

Is Elaine Kelly enrolled in Medicare?

Yes. Elaine Kelly 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 Elaine Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Elaine Kelly 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 Elaine Kelly was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.