DR. KELLY RAE SCHWARTZBAUER - NPI 1215280144

Q: What is Kelly Schwartzbauer's NPI number?

The NPI number for Kelly Schwartzbauer is 1215280144. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Kelly Schwartzbauer's specialty?

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

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About Dr. Kelly Rae Schwartzbauer NPPES

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

DR. KELLY RAE SCHWARTZBAUER (NPI 1215280144) is an individual dentist in Bayport, Minnesota, licensed in Minnesota (D13039) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215280144

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY RAE SCHWARTZBAUER

Location Address277 3RD ST NBayport, MN 55003-1028

Mailing Address6670 Glen RdWoodbury, MN 55129-9506

Phone(651) 439-2352

Sole ProprietorNo

Enumeration DateOctober 16, 2012

Last NPPES UpdateFebruary 8, 2023

NPPES CertifiedFebruary 8, 2023

✔ NPI 1215280144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D13039

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D13039 (MN)

277 3RD ST N, Bayport, MN 55003

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Kelly Rae Schwartzbauer 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 55003 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 5

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

DR. WILLIAM B SHEA D.D.S.

Dentist