Doctor profile · Federal record

Dr. KELSEY MOORE, OD

Optometrist (CMS: OPTOMETRY) · Pediatric Optometrist · Vision Therapy Optometrist · PLYMOUTH, MN

  • NPI 1154844017
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
10600 OLD COUNTY ROAD 15
PLYMOUTH, MN 554416200
(763) 545-8850
fax (763) 544-1257

Credentials & registration

NPPES · NUCC
NPI registered
July 2017 — 9 yrs on file
Profile last updated
February 5, 2023
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Minnesota #3563

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154844017. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
84
Distinct HCPCS
5
Medicare allowed
$6,034
HCPCS Description Services Patients Avg allowed
92250 Photography of the retina 21 21 $37
92060 Exam to measure eye deviation and range of motion 20 11 $61
99213 Established patient office or other outpatient visit, 20-29 minutes 18 15 $88
92014 Established patient complete exam of visual system 14 13 $126
92083 Exam of visual field with extended testing 11 11 $63

In context: peer comparison

Among 7 peers in this city , average services per provider: 78. This provider delivers 1.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$194
Transactions
5
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Alcon Vision LLC 2 $131.25
ABBVIE INC. 1 $23.42
Johnson & Johnson Vision Care, Inc. 1 $23.20
CooperVision Inc. 1 $16.44

By nature of payment

Food and Beverage
$194