G. SCOTT KELLY DDS
NPI 1225223506
Dentist in Gladstone, MI

Q: What is G. Kelly's NPI number?

The NPI number for G. Kelly is 1225223506. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is G. Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for G. Kelly was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 11, 2007PECOS Enrolled

5 LOWRIE AVE, GLADSTONE, MI 49837(906) 428-1923(906) 428-3021 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About G. Scott Kelly Dds NPPES

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

G. SCOTT KELLY DDS (NPI 1225223506) is an individual dentist in Gladstone, Michigan, licensed in Michigan (2901017195) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225223506

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameG. SCOTT KELLYCredential: DDS

Location Address5 LOWRIE AVEGladstone, MI 49837-2013

Mailing Address5 Lowrie AveGladstone, MI 49837-2013 · (906) 428-1923 · Fax (906) 428-3021

Phone(906) 428-1923

Fax(906) 428-3021

Sole ProprietorYes

Enumeration DateSeptember 11, 2007

Last NPPES UpdateOctober 9, 2007

✔ NPI 1225223506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901017195

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.

5 LOWRIE AVE, Gladstone, MI 49837

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

G. Scott Kelly Dds 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 49837 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

G SCOTT KELLY DDS PC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

5 LOWRIE AVE
GLADSTONE, MI 49837

Delta County (906) 428-1923

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 G. Kelly's NPI number?

The NPI number for G. Kelly is 1225223506. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is G. Kelly located?

G. Kelly practices at 5 Lowrie Ave, Gladstone, MI 49837. The listed phone number is (906) 428-1923.

What is G. Kelly's specialty?

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

Is G. Kelly enrolled in Medicare?

Yes. G. Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for G. Kelly was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.