DR. PAUL JOHN KELLY DDS, MS
NPI 1447202148
Dentist - Oral and Maxillofacial Surgery in Gilbert, AZ
NPI Status: Active since May 17, 2006
Contact Information
726 N GREENFIELD RD
SUITE 117
GILBERT, AZ
ZIP 85234
Phone: (480) 685-9696
Fax: (480) 378-3565
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About PAUL KELLY
This page provides the complete NPI Profile along with additional information for Paul Kelly, a provider established in Gilbert, Arizona with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1447202148 assigned on May 2006. The practitioner's primary taxonomy code is 1223S0112X with license number D6913 (AZ). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1447202148
- Provider Name
- DR. PAUL JOHN KELLY DDS, MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 726 N GREENFIELD RD SUITE 117 GILBERT, AZ 85234
- Location Phone
- (480) 685-9696
- Location Fax
- (480) 378-3565
- Mailing Address
- 726 N GREENFIELD RD SUITE #117 GILBERT, AZ 85234
- Mailing Phone
- (480) 685-9696
- Mailing Fax
- (480) 378-3565
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 06-01-2015
- Code Navigator
A dentist like Paul Kelly is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Paul Kelly opted out of Medicare effective on 02-07-2017 until 02-07-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- D6913
- License State
- AZ
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
- Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
- Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
- Blue EverydayHealth Gold - MaricopaFocus Network - HMO
- Blue EverydayHealth Silver - MaricopaFocus Network - HMO
- Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Gold - MaricopaFocus Network - HMO
- Blue StandardHealth Silver - MaricopaFocus Network - HMO
- Cigna Dental Family + Pediatric - PPO
- Cigna Dental Pediatric - PPO
- Delta Dental Essential Plan - Family or Child Only - PPO
- Delta Dental Select Plan - Family or Child Only - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D6913 | OTHER (01) | AZ | DENTAL LICENSE |
Medicare Participation & PECOS Enrollment Status
Paul Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-07-2017
Opt-Out End Date: 02-07-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85234 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 2 | 0 | 2 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 4 | 0 | 4 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 4 + 0 + 4 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1447202148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194798868 | DR. RONALD ODELL HADDEN M. D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 726 N GREENFIELD RD #110 GILBERT, AZ 85234 (480) 733-4118 |
| 1639409196 | DR. ERIK PRESTON WITBECK Individual | Audiologist | 726 N GREENFIELD RD STE. 101 GILBERT, AZ 85234 (480) 833-8620 |
| 1588002588 | JOHNSON & LARSEN FAMILY DENTISTRY Organization | Dentist (General Practice) | 726 N GREENFIELD RD STE 126 GILBERT, AZ 85234 (480) 813-8890 |
| 1316324031 | PAUL KELLY MAXILLOFACIAL PC Organization | Dentist (Oral and Maxillofacial Surgery) | 726 N GREENFIELD RD SUITE #117 GILBERT, AZ 85234 (480) 258-0879 |
| 1831177500 | DEAN R GAMBINO M.D. Individual | Otolaryngology | 726 N GREENFIELD RD SUITE 101 GILBERT, AZ 85234 (480) 833-8620 |
| 1114968989 | GENERAL SURGERY OF PAYSON PLLC Organization | Surgery | 726 N GREENFIELD RD SUITE 105 GILBERT, AZ 85234 (480) 296-3353 |
| 1649212580 | TRAVIS LEROY HOWARD DO Individual | Surgery | 726 N GREENFIELD RD SUITE 105 GILBERT, AZ 85234 (480) 926-3353 |
| 1528261732 | ALI GHAZANFARI M.D. Individual | Surgery | 726 N GREENFIELD RD SUITE 105 GILBERT, AZ 85234 (480) 926-3353 |
| 1619147469 | ALI GHAZANFARI MD PLLC Organization | Surgery | 726 N GREENFIELD RD SUITE 105 GILBERT, AZ 85234 (480) 926-3353 |
| 1467986984 | ORTHOPEDIC EMERGENCY SERVICES, LLC Organization | Orthopaedic Surgery | 726 N GREENFIELD RD SUITE 108 GILBERT, AZ 85234 (480) 993-4618 |
| 1801943543 | NEUROLOGICAL PHYSICIANS OF ARIZ INC Organization | Psychiatry & Neurology (Neurology) | 726 N GREENFIELD RD SUITE 110 GILBERT, AZ 85234 (480) 834-8885 |
| 1003963679 | WILLIAM D GRAINGER MD Individual | Psychiatry & Neurology (Neurology) | 726 N GREENFIELD RD SUITE 110 GILBERT, AZ 85234 (480) 834-8885 |
| 1477318178 | STARNIQUE ANTRENAE JACKSON Individual | Behavior Technician | 726 N GREENFIELD RD GILBERT, AZ 85234 (602) 649-0248 |
| 1356146021 | SARA ELIZABETH LAZENBY Individual | Behavior Technician | 726 N GREENFIELD RD GILBERT, AZ 85234 (602) 649-0248 |
| 1184422693 | WILLIAM CHARLES MONTIGNANI VI Individual | Behavior Technician | 726 N GREENFIELD RD GILBERT, AZ 85234 (480) 893-7685 |
| 1891439824 | ASPEN GEPSON RBT Individual | Behavior Technician | 726 N GREENFIELD RD GILBERT, AZ 85234 (602) 649-0248 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447202148, enumerated in the NPI registry as an "individual" on May 17, 2006
The provider is located at 726 N Greenfield Rd Suite 117 Gilbert, Az 85234 and the phone number is (480) 685-9696
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on February 07, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 07, 2027.
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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