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Active NPI 1669600102 Individual Practitioner Female Practitioner

Dr. Nickelle Anne Kellough , OD

Optometrist • Hollywood, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nickelle Kellough, OD is a certified Optometrist practicing in Hollywood, FL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Kellough delivers high-quality medical care to the local community at 300 S PARK RD STE 300.

Dr. Kellough is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 S Park Rd Ste 300

Hollywood, FL 330218353

Telephone 9549252740
Fax 9549238379
Associated Practice Facility / Clinic
🏢 Eye Surgery Associates Llc Facility NPI 1861589343

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hollywood, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +4.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Hollywood, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellough (26 Years) 26 Yrs
Hollywood Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
40 40 $133.00 $38.42
99213 Established patient office or other outpatient visit, typically 15 minutes
36 33 $210.00 $88.38
92004 New patient complete exam of visual system
28 28 $429.00 $142.09
92014 Established patient complete exam of visual system
20 20 $355.00 $119.65
92133 Imaging of optic nerve
13 12 $133.00 $33.64
92083 Exam of visual field with extended testing
11 11 $263.00 $59.83

Medical Specialties & State Licenses

CMS Verified: 2020-06-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC3480

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

190 Marketside Ave, Ponte Vedra Beach, FL 320811045

Phone: 9042493937

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1033106455

Doctor of Medicine (M.D.)

NPI 1073500484

Doctor of Medicine (M.D.)

NPI 1124014014

Doctor of Medicine (M.D.)

NPI 1124055736

Doctor of Medicine (M.D.)

NPI 1134116551

Doctor of Medicine (M.D.)

NPI 1215998471

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 02, 2020

Registered at 300 S PARK RD STE 300, HOLLYWOOD, FL 330218353 (Tel: 9549252740)

📍
Updated Business Mailing Address June 02, 2020

Registered at 300 S PARK RD STE 300, HOLLYWOOD, FL 330218353 (Tel: 9549252740)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2020

Optometrist (License #OPC3480 in FL)

NPI Profile Active June 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2009

Registered at 10064 GRIFFIN RD, COOPER CITY, FL 333283309 (Tel: 9546809334)

📍
Updated Business Mailing Address June 23, 2009

Registered at 8365 S LAKE FOREST DR, DAVIE, FL 333283050 (Tel: 9546124984)

👤
Provider Name / Credentials Updated June 23, 2009

Recorded as NICKELLE KELLOUGH, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2009

Optometrist (License #3480 in FL)

🟢
Initial NPI Registration & Enumeration June 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669600102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2009
Last Update: June 02, 2020
Sole Proprietor: Yes

Mailing Address

300 S Park Rd Ste 300

Hollywood, FL 330218353

Phone: 9549252740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.