DR. KELLY KOLI SAWYER DDS
NPI 1295750206
Dentist - Pediatric Dentistry in San Angelo, TX

Active since July 12, 2006PECOS Enrolled
3013 GREEN MEADOW, SAN ANGELO, TX 76904(325) 947-7777(325) 947-7771 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Koli Sawyer Dds NPPES

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

DR. KELLY KOLI SAWYER DDS (NPI 1295750206) is an individual pediatric dentistry provider in San Angelo, Texas, licensed in Texas (20387) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295750206
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELLY KOLI SAWYERCredential: DDS
Location Address3013 GREEN MEADOWSan Angelo, TX 76904-6435
Mailing Address3013 Green MeadowSan Angelo, TX 76904-6435 · (325) 947-7777 · Fax (325) 947-7771
Fax(325) 947-7771
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1295750206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 20387
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3013 GREEN MEADOW, San Angelo, TX 76904

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)

Dr. Kelly Koli Sawyer 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 76904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Sawyer's NPI number?

The NPI number for Kelly Sawyer is 1295750206. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kelly Sawyer located?

Kelly Sawyer practices at 3013 Green Meadow, San Angelo, TX 76904. The listed phone number is (325) 947-7777.

What is Kelly Sawyer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kelly Sawyer enrolled in Medicare?

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

What insurance does Kelly Sawyer accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kelly Sawyer 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 Sawyer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.