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DEREK KELLY DMD
NPI 1306808597
Dentist - Oral and Maxillofacial Surgery in Bridgeville, PA

Active since April 04, 2006PECOS Enrolled
1597 WASHINGTON PIKE STE A5, BRIDGEVILLE, PA 15017(412) 279-4800(412) 279-7119 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Kelly Dmd NPPES

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

DEREK KELLY DMD (NPI 1306808597) is an individual oral and maxillofacial surgery provider in Bridgeville, Pennsylvania, licensed in Pennsylvania (DS024337) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306808597
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDEREK KELLYCredential: DMD
Location Address1597 WASHINGTON PIKE STE A5Bridgeville, PA 15017-2881
Mailing Address926 Great Pond Dr, Suite 2003Altamonte Springs, FL 32714-7244
Phone(412) 279-4800
Fax(412) 279-7119
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateDecember 12, 2013
✔ NPI 1306808597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS024337
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.
1597 WASHINGTON PIKE STE A5, Bridgeville, PA 15017
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Other Identifiers 6

Medicaid0011290810009PA
Medicaid0011290810021PA
Medicaid0011290810017PA
Medicaid0011290810018PA
Medicaid0011290810011PA
Medicaid0011290810019PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Derek Kelly Dmd 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 15017 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

DR. ADAM LOUIS MARTIK D.M.D.
Dentist
1597 WASHINGTON PIKE STE A5
BRIDGEVILLE, PA 15017
Allegheny County (412) 279-4800
MOUTAZ DANDASHI DMD
Dentist (Pediatric Dentistry)
1597 WASHINGTON PIKE STE A5
BRIDGEVILLE, PA 15017
Allegheny County (412) 279-4800

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 Derek Kelly's NPI number?

The NPI number for Derek Kelly is 1306808597. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Derek Kelly located?

Derek Kelly practices at 1597 Washington Pike Ste A5, Bridgeville, PA 15017. The listed phone number is (412) 279-4800.

What is Derek Kelly's specialty?

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

Is Derek Kelly enrolled in Medicare?

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

What insurance does Derek Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Derek Kelly 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 Derek Kelly was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.