DR. DOUGLAS G KISTLER D.D.S.
NPI 1174636799
Dentist - General Practice in Spring Grove, PA

Active since August 17, 2006PECOS Enrolled
26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTER, SPRING GROVE, PA 17362(717) 225-5741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas G Kistler D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS G KISTLER D.D.S. (NPI 1174636799) is an individual general practice provider in Spring Grove, Pennsylvania, licensed in Pennsylvania (DSO29459L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174636799
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOUGLAS G KISTLERCredential: D.D.S.
Location Address26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTERSpring Grove, PA 17362-1406
Mailing Address26 Roth Church Rd, Spring Grove Professional CenterSpring Grove, PA 17362-1406 · (717) 225-5741
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174636799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DSO29459L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
26 ROTH CHURCH RD, Spring Grove, PA 17362

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Douglas G Kistler D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTER
SPRING GROVE, PA 17362
Dentist (General Practice)
26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTER
SPRING GROVE, PA 17362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Kistler's NPI number?

The NPI number for Douglas Kistler is 1174636799. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Douglas Kistler located?

Douglas Kistler practices at 26 Roth Church Rd Spring Grove Professional Center, Spring Grove, PA 17362. The listed phone number is (717) 225-5741.

What is Douglas Kistler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Douglas Kistler enrolled in Medicare?

Yes. Douglas Kistler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Kistler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.