Individual provider Active NPI

Kelsey A Paciotti, OD

  • Optometrist
  • Allentown, PA
National Provider Identifier
1386093425
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003174 Issued in PA
Practice address
1739 W Fairmont St
Allentown, PA 18104-3117
Phone
(610) 437-4988
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003174 PA Primary

Addresses

Primary practice location

1739 W Fairmont St
Allentown, PA 18104-3117

Mailing address

1739 W Fairmont St
Allentown, PA 18104-3117

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
I20160810000154 PA Practitioner - Optometry 8628362936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Center for Sight PCGroup PAC ID 8123002938, 7 clinicians

Practice addresses (Care Compare)

1739 W Fairmont St
Allentown, PA 18104-3117
Phone (610) 437-4988

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Center for Sight PC CurrentSince Jun 27, 2016 Accepting new patients

Locations

1739 W Fairmont St
Allentown, PA 18104
Phone (215) 437-4988

3959 William Penn Hwy
Easton, PA 18045
Phone (570) 350-4117

Interoperability endpoints

  • Direct secure messaging: kpaciotti@lvcenterforsight.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1386093425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043117",
            "telephone_number": "610-437-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIOTTI",
        "first_name": "KELSEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.