DR. KELLY MARIE BERNATH PAXTON DDS
NPI 1215064480
Dentist in Virginia Beach, VA

Active since February 27, 2007Opted out of Medicare · through Feb 3, 2028
2025 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455(757) 464-0271(757) 483-2359 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Marie Bernath Paxton Dds NPPES

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

DR. KELLY MARIE BERNATH PAXTON DDS (NPI 1215064480) is an individual dentist in Virginia Beach, Virginia, licensed in Virginia (0401411578) and active in the NPI registry since February 2007. She has opted out of Medicare through February 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215064480
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY MARIE BERNATH PAXTONCredential: DDS
Location Address2025 PLEASURE HOUSE RDVirginia Beach, VA 23455-2709
Mailing Address2025 Pleasure House RdVirginia Beach, VA 23455-2709 · (757) 464-0271 · Fax (757) 483-2359
Fax(757) 483-2359
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
NPI 1215064480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401411578
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2025 PLEASURE HOUSE RD, Virginia Beach, VA 23455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kelly Marie Bernath Paxton Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2016 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2016
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23455 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

Dental Hygienist
2025 PLEASURE HOUSE RD
VIRGINIA BEACH, VA 23455

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 Kelly Bernath Paxton's NPI number?

The NPI number for Kelly Bernath Paxton is 1215064480. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Kelly Bernath Paxton located?

Kelly Bernath Paxton practices at 2025 Pleasure House Rd, Virginia Beach, VA 23455. The listed phone number is (757) 464-0271.

What is Kelly Bernath Paxton's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Bernath Paxton enrolled in Medicare?

No. Kelly Bernath Paxton has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Bernath Paxton was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.