MS. KELLEY SUZANNE LYBRAND D.D.S.
NPI 1265515399
Dentist - Oral and Maxillofacial Surgery in Monroe, NC

Q: What is Kelley Lybrand's NPI number?

The NPI number for Kelley Lybrand is 1265515399. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Kelley Lybrand's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Kelley Lybrand enrolled in Medicare?

No. Kelley Lybrand has opted out of Medicare through January 1, 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.

Q: When was this NPI record last updated?

The NPPES record for Kelley Lybrand was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 23, 2006Opted out of Medicare · through Jan 1, 2028

1851 WELLNESS BLVD, MONROE, NC 28110(704) 291-7333(704) 292-1203 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Kelley Suzanne Lybrand D.d.s. NPPES

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

MS. KELLEY SUZANNE LYBRAND D.D.S. (NPI 1265515399) is an individual oral and maxillofacial surgery provider in Monroe, North Carolina, licensed in North Carolina (7629) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265515399

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameMS. KELLEY SUZANNE LYBRANDCredential: D.D.S.

Location Address1851 WELLNESS BLVDMonroe, NC 28110-7774

Mailing Address1851 Wellness BlvdMonroe, NC 28110-7774 · (704) 291-7333 · Fax (704) 292-1203

Phone(704) 291-7333

Fax(704) 292-1203

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateJanuary 15, 2020

✔ NPI 1265515399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in NC · 7629✔ Licensed in SC · DID19.ID

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1851 WELLNESS BLVD, Monroe, NC 28110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kelley Suzanne Lybrand D.d.s. 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 January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 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 28110 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 4

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

DR. JESSE ERIC RICCIUTI DDS

Dentist (Oral and Maxillofacial Surgery)

1851 WELLNESS BLVD
MONROE, NC 28110

Union County (704) 291-7333

DR. TARA ANNE VALIQUETTE DMD

Dentist (Oral and Maxillofacial Surgery)

1851 WELLNESS BLVD
MONROE, NC 28110

Union County (704) 291-7333

ERIK F REITTER DDS

Dentist (Oral and Maxillofacial Surgery)

1851 WELLNESS BLVD
MONROE, NC 28110

Union County (704) 291-7333

DR. STEVEN RUSSELL PATTY DDS, PA

Dentist (Oral and Maxillofacial Surgery)

1851 WELLNESS BLVD
MONROE, NC 28110

Union County (704) 291-7333

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 Kelley Lybrand's NPI number?

The NPI number for Kelley Lybrand is 1265515399. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kelley Lybrand located?

Kelley Lybrand practices at 1851 Wellness Blvd, Monroe, NC 28110. The listed phone number is (704) 291-7333.

What is Kelley Lybrand's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kelley Lybrand enrolled in Medicare?

No. Kelley Lybrand has opted out of Medicare through January 1, 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.

What insurance does Kelley Lybrand accept?

Health plans from 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 North Carolina list Kelley Lybrand 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 Kelley Lybrand was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.