Skip to content

Randy Mathew Kelly, OD

NPI 1770537896ActiveIndividual· Optometrist· Edina, MN

Optometrist (OD) in Edina, Minnesota, trained at Pacific University - College of Optometry (class of 2003). Mostly services rather than prescriptions: Medicare paid $4,288 for 42 patients in 2024, with only 48 Part D claims. Johnson & Johnson Vision Care, Inc. was the largest of 3 companies reporting payments in 2025, $104.83 in all, mostly food and beverage.

Overview

NPI1770537896
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedMay 22, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X2917MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients42
Services billed148 across 8 procedure codes
Paid by Medicare$4,288

Part D prescriptions in 2024

Prescriptions (claims)48 · 70 30-day fills
Patients25
Total drug cost$4,561
Generic share75% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year2003
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$104.83 · 5 payments from 3 companies
  • 2024$109.40 · 6 payments from 2 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$104.83 · 5 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Edina

All 32 optometrists in Edina · All optometrists in Minnesota