1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Dentist
  6. NPI Profile

W DAVID KELLY DMD
NPI 1326041385
Dentist - Oral and Maxillofacial Surgery in Worcester, MA

Active since May 24, 2005PECOS Enrolled
59 QUINSIGAMOND AVE, WORCESTER, MA 01610(508) 799-2550(508) 756-2923 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About W David Kelly Dmd NPPES

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

W DAVID KELLY DMD (NPI 1326041385) is an individual oral and maxillofacial surgery provider in Worcester, Massachusetts, licensed in Massachusetts (12222) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326041385
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameW DAVID KELLYCredential: DMD
Location Address59 QUINSIGAMOND AVEWorcester, MA 01610-1867
Mailing Address59 Quinsigamond AveWorcester, MA 01610-1867 · (508) 799-2550 · Fax (508) 756-2923
Phone(508) 799-2550
Fax(508) 756-2923
Sole ProprietorYes
Enumeration DateMay 24, 2005
Last NPPES UpdateFebruary 17, 2012
✔ NPI 1326041385 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 MA · 12222
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.
59 QUINSIGAMOND AVE, Worcester, MA 01610
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT57152MA

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.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)

W David 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 01610 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 8

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

CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 799-2550
CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLP
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 799-2550
CHRISTOPHER JAY VINTON MD
Orthopaedic Surgery
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Worcester County (508) 755-1123
WORCESTER ORAL SURGERY AND IMPLANT CENTERS PLLC
Dentist (Oral and Maxillofacial Surgery)
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 872-3072
DR. PHILIP J. LAHEY JR. M.D.
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 755-1559
WORCESTER COUNTY ORTHOPEDICS
Specialist
59 QUINSIGAMOND AVE
WORCESTER, MA 01610
Worcester County (508) 755-1208
SETH A. BRAWER PA-C
Physician Assistant (Surgical)
59 QUINSIGAMOND AVE, WORCESTER COUNTY ORTHOPEDICS
WORCESTER, MA 01610
Worcester County (508) 755-1123
PHILIP J LAHEY MD
Orthopaedic Surgery
59 QUINSIGAMOND AVE, STE 200
WORCESTER, MA 01610
Worcester County (508) 755-0240

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 W Kelly's NPI number?

The NPI number for W Kelly is 1326041385. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is W Kelly located?

W Kelly practices at 59 Quinsigamond Ave, Worcester, MA 01610. The listed phone number is (508) 799-2550.

What is W Kelly's specialty?

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

Is W Kelly enrolled in Medicare?

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

What insurance does W Kelly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list W 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 W Kelly was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.