Kelsey Moore, OD
NPI 1154844017ActiveIndividual· Optometrist· Plymouth, MN
Optometrist (OD) with Kennedy Vision Health Center LLC, practicing in Plymouth, Minnesota. Mostly services rather than prescriptions: Medicare paid $7,421 for 41 patients in 2024, with only 15 Part D claims. Biotissue Holdings Inc. was the largest of 3 companies reporting payments in 2025, $319.78 in all, mostly food and beverage.
Overview
| NPI | 1154844017 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | Feb 5, 2023 |
| Certified by provider | Feb 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3563 | MN |
| Optometrist, Pediatrics | 152WP0200X | 3563 | MN |
| Optometrist, Vision Therapy | 152WV0400X | 3563 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 627 across 20 procedure codes |
| Paid by Medicare | $7,421 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 22 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $1,178 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Kennedy Vision Health Center LLCPlymouth, MN · 7 clinicians
Industry payments (Open Payments)
- 2025$319.78 · 3 payments from 3 companies
- 2024$194.31 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $174.01 | 1 |
| Alcon Vision LLC | $120.88 | 1 |
| Coopervision Inc. | $24.89 | 1 |
What the 2025 payments were for
- Food and Beverage$319.78 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 optometrists in Plymouth · All optometrists in Minnesota