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
- Primary practice
-
10600 Old County Road 15
Plymouth, MN 554416200
(763) 545-8850
fax (763) 544-1257
Credentials & registration
- 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
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
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 Plymouth Optometrist, average services per provider: 78. This provider delivers 1.1× the peer median.Open Payments
Industry payments received
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
Frequently asked questions
What is Dr. Kelsey Moore's medical specialty?
Dr. Kelsey Moore practices Optometrist in Plymouth, MN.
Where does Dr. Kelsey Moore practice?
Dr. Kelsey Moore practices at 10600 Old County Road 15, Plymouth, MN 554416200. Office phone: 7635458850.
What is Dr. Kelsey Moore's NPI?
Dr. Kelsey Moore's National Provider Identifier (NPI) is 1154844017, issued by NPPES.
Does Dr. Kelsey Moore accept Medicare assignment?
Yes. Dr. Kelsey Moore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelsey Moore commonly perform?
Top Medicare-reported procedures in 2023: Photography of the retina (HCPCS 92250); Exam to measure eye deviation and range of motion (HCPCS 92060); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.