Alla Kelly, MD
NPI 1174750079ActiveIndividual· Ophthalmology· Woodbury, MN
Ophthalmology (MD) in Woodbury, Minnesota, trained at Wayne State University School of Medicine (class of 2009). Their prescriptions cost Medicare Part D more than their services did: $362,608 for 2,393 claims, against $149,286 paid for services in 2024.
Overview
| NPI | 1174750079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 18, 2009 |
| Last updated in NPPES | Aug 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 56347 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 722 |
|---|---|
| Services billed | 1,769 across 31 procedure codes |
| Paid by Medicare | $149,286 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,393 · 4,710 30-day fills |
|---|---|
| Patients | 723 |
| Total drug cost | $362,608 |
| Generic share | 56% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Ophthalmology |
Medical group
- St Paul Eye Clinic PAEagan, MN · 20 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- M Health Fairview University of Mn Medical CenterMinneapolis, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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