KELLY MATHESON DDS
NPI 1255527016
Dentist in Richland, WA

Active since September 14, 2007PECOS Enrolled
475 KEENE RD, RICHLAND, WA 99352(509) 627-6888(509) 627-6720 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Matheson Dds NPPES

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

KELLY MATHESON DDS (NPI 1255527016) is an individual dentist in Richland, Washington, licensed in Washington (DE00010940) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255527016
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELLY MATHESONCredential: DDS
Location Address475 KEENE RDRichland, WA 99352-5007
Mailing Address3801 Fairfax DrArlington, VA 22203-1762 · (703) 527-3554
Fax(509) 627-6720
Sole ProprietorNo
Enumeration DateSeptember 14, 2007
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
NPI 1255527016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in WA · DE00010940 Licensed in VA · 0401412425
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.

475 KEENE RD, Richland, WA 99352

Other Names 1

Former Name (1)Kelly Jones Dds

Accepted 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)

Kelly Matheson 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 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Dentist (General Practice)
475 KEENE RD
RICHLAND, WA 99352
Durable Medical Equipment & Medical Supplies (Customized Equipment)
475 KEENE RD, SUITE B
RICHLAND, WA 99352
Dentist
475 KEENE RD
RICHLAND, WA 99352
Dentist (General Practice)
475 KEENE RD
RICHLAND, WA 99352
Dentist
475 KEENE RD
RICHLAND, WA 99352

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 Matheson's NPI number?

The NPI number for Kelly Matheson is 1255527016. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Kelly Matheson located?

Kelly Matheson practices at 475 Keene Rd, Richland, WA 99352. The listed phone number is (509) 627-6888.

What is Kelly Matheson's specialty?

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

Is Kelly Matheson enrolled in Medicare?

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

What insurance does Kelly Matheson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 7 other insurers list Kelly Matheson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Matheson was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.