Kelsey Durbin, MD - Medicare Ophthalmology in Mount Vernon, OH

Kelsey Durbin, MD is a medicare enrolled "Ophthalmology" physician in Mount Vernon, Ohio. She went to University Of Kentucky College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Knox Community Hospital and her current practice location is 1355 Yauger Rd, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 397-2425.

Kelsey Durbin is licensed to practice in Ohio (license number 35.143523) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699216820.

Contact Information

Kelsey Durbin, MD
1355 Yauger Rd,
Mount Vernon, OH 43050-9233
(740) 397-2425
Not Available

Map and Direction




Physician's Profile

Full NameKelsey Durbin
GenderFemale
SpecialityOphthalmology
Experience7 Years
Location1355 Yauger Rd, Mount Vernon, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Durbin attended and graduated from University Of Kentucky College Of Medicine in 2017
  NPI Data:
  • NPI Number: 1699216820
  • Provider Enumeration Date: 03/20/2017
  • Last Update Date: 11/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729358395
  • Enrollment ID: I20211026003239

Medical Identifiers

Medical identifiers for Kelsey Durbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699216820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 35.143523 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Knox Community HospitalMount vernon, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Knox Community Hospital1153301833104

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Durbin allows following entities to bill medicare on her behalf.
Entity NameKnox Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Durbin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Durbin, MD
1355 Yauger Rd,
Mount Vernon, OH 43050-9233

Ph: () -
Kelsey Durbin, MD
1355 Yauger Rd,
Mount Vernon, OH 43050-9233

Ph: (740) 397-2425

Reviews and Comments


Ophthalmology Doctors in Mount Vernon, OH

Sylvi Kyllikki Koso, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1355 Yauger Road, Mount Vernon, OH 43050
Phone: 740-397-2425    Fax: 740-392-1915
Matthew P. Koehler Ii, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050
Phone: 740-393-9000    Fax: 740-392-0167
Deborah Johnson Reeder, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050
Phone: 740-393-9000    Fax: 740-392-0167

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.