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DR. MATTHEW RYAN KELSEY D.D.S., M.S.
NPI 1326200072
Dentist - Periodontics in Omaha, NE

Active since June 25, 2008PECOS Enrolled
17785 MASON ST, #103, OMAHA, NE 68118(402) 934-4745(402) 934-4760 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Ryan Kelsey D.d.s., M.s. NPPES

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

DR. MATTHEW RYAN KELSEY D.D.S., M.S. (NPI 1326200072) is an individual periodontics provider in Omaha, Nebraska, licensed in Nebraska (6751) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326200072
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MATTHEW RYAN KELSEYCredential: D.D.S., M.S.
Location Address17785 MASON ST, #103Omaha, NE 68118-3526
Mailing Address17785 Mason St, #103Omaha, NE 68118-3526 · (402) 934-4745 · Fax (402) 934-4760
Phone(402) 934-4745
Fax(402) 934-4760
Sole ProprietorYes
Enumeration DateJune 25, 2008
Last NPPES UpdateMarch 27, 2014
✔ NPI 1326200072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NE · 6751
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

17785 MASON ST, Omaha, NE 68118
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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. Matthew Ryan Kelsey D.d.s., M.s. 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 68118 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 3

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

BECKER CHIROPRACTIC LLC
Chiropractor
17785 MASON ST, SUITE 101
OMAHA, NE 68118
Douglas County (402) 330-8600
DR. WILLIAM PATRICK KELSEY V
Dentist (Periodontics)
17785 MASON ST, SUITE 103
OMAHA, NE 68118
Douglas County (402) 934-4745
KELSEY PERIODONTAL GROUP, LLC
Clinic/Center (Dental)
17785 MASON ST, SUITE 103
OMAHA, NE 68118
Douglas County (402) 934-4745

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 Matthew Kelsey's NPI number?

The NPI number for Matthew Kelsey is 1326200072. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Matthew Kelsey located?

Matthew Kelsey practices at 17785 Mason St #103, Omaha, NE 68118. The listed phone number is (402) 934-4745.

What is Matthew Kelsey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Matthew Kelsey enrolled in Medicare?

Yes. Matthew Kelsey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Kelsey was last updated on March 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.