Individual provider Active NPI

Kelly Seibert, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1073911707
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003497 Issued in PA
Practice address
22 McIntyre Square Dr
Pittsburgh, PA 15237-7301
Phone
(412) 364-4700
NPI assigned
Dec 11, 2014
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003497 PA Primary

Addresses

Primary practice location

22 McIntyre Square Dr
Pittsburgh, PA 15237-7301

Mailing address

4000 Red Bank Rd
Cincinnatti, OH 45227
Phone (513) 351-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305001150 PA Practitioner - Optometry 1254670573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Family Eyecare PCGroup PAC ID 1254455140, 3 clinicians

Practice addresses (Care Compare)

3285 State Route 257
Seneca, PA 16346-2529
Phone (814) 677-6636

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
91.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Family Eyecare, PC Optometrist CurrentSince Jul 30, 2021 Accepting new patients

Locations

3285 State Route 257
Seneca, PA 16346
Phone (814) 677-6636

Interoperability endpoints

  • Direct secure messaging: seibertk@wagnerfamilyeyecare.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1073911707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RED BANK RD",
            "city": "CINCINNATTI",
            "state": "OH",
            "postal_code": "45227",
            "telephone_number": "513-351-0768",
            "fax_number": "513-351-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MCINTYRE SQUARE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377301",
            "telephone_number": "412-364-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.