Doctor profile · Federal record
Dr. Kelly Staton, O.D.
Optometrist (CMS: Optometry) · Petaluma, CA
- NPI 1548302649
- Accepts Medicare
- 34 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
320 Petaluma Blvd S
Petaluma, CA 949524245
(707) 762-8643 - Mailing address
-
124 Jagle St
Cotati, CA 949315375
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #10012T
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548302649. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
40
Distinct HCPCS
2
Medicare allowed
$4,891
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 26 | 26 | $119 | |
92004 |
New patient complete exam of visual system | 14 | 14 | $129 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 35. This provider delivers 1.1× the peer median.Open Payments
Industry payments received
All-time total
$70
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Oyster Point Pharma, Inc. | 1 | $28.94 | |
| LKC Technologies, Inc. | 1 | $21.39 | |
| Tarsus Pharmaceuticals, Inc. | 1 | $19.87 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Staton's medical specialty?
Dr. Kelly Staton practices Optometrist in Petaluma, CA.
Where does Dr. Kelly Staton practice?
Dr. Kelly Staton practices at 320 Petaluma Blvd S, Petaluma, CA 949524245. Office phone: 7077628643.
What is Dr. Kelly Staton's NPI?
Dr. Kelly Staton's National Provider Identifier (NPI) is 1548302649, issued by NPPES.
Does Dr. Kelly Staton accept Medicare assignment?
Yes. Dr. Kelly Staton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Staton commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.