Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY DALLER
NPI 1265282578
Emergency Medicine in Greenwood, SC

Q: What is Kelsey Daller's NPI number?

The NPI number for Kelsey Daller is 1265282578. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Kelsey Daller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Daller was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 March 27, 2024PECOS EnrolledAccepts Medicare Assignment

1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4780(864) 725-4778 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelsey Daller NPPES

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

KELSEY DALLER (NPI 1265282578) is an individual emergency medicine provider in Greenwood, South Carolina, licensed in South Carolina (91462) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2024).

NPPES Registry Identity

NPI1265282578

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKELSEY DALLER

Location Address1325 SPRING STGreenwood, SC 29646-3860

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(864) 725-4780

Fax(864) 725-4778

Sole ProprietorYes

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2024

Enumeration DateMarch 27, 2024

Last NPPES UpdateOctober 15, 2026

NPPES CertifiedOctober 15, 2026

✔ NPI 1265282578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 91462

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1325 SPRING ST, Greenwood, SC 29646

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Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 350Columbia, SC 29203-6896 · Phone (803) 434-1663

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Daller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113453234

PECOS Enrollment IDI20260619000695

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Daller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health Medical Group-Midlands

57 mi

Interventional Cardiology

300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212

Reassigned Medicare billing, South Carolina enrollment
1,466 clinicians in this Medicare group

NPI 1003307166 (803) 765-0871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 20

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

LAURA DIANE MOON

Nurse Anesthetist, Certified Registered