DEXTER ROBERT MCKELLAR MD
NPI 1336633742
Family Medicine in Walker, MI

Q: What is Dexter Mckellar's NPI number?

The NPI number for Dexter Mckellar is 1336633742. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Q: What is Dexter Mckellar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dexter Mckellar was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 19, 2018PECOS EnrolledAccepts Medicare Assignment

1175 WILSON AVE NW, WALKER, MI 49534(616) 685-8650(616) 791-2160 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Jan 23, 2019, Jun 21, 2018 (3 updates tracked since 2018).

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About Dexter Robert Mckellar Md NPPES

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

DEXTER ROBERT MCKELLAR MD (NPI 1336633742) is an individual family medicine provider in Walker, Michigan, licensed in Michigan (4301502149) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336633742

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEXTER ROBERT MCKELLARCredential: MD

Location Address1175 WILSON AVE NWWalker, MI 49534-6407

Mailing Address300 Lafayette Ave Se Ste 4000Grand Rapids, MI 49503-4692 · (616) 685-5922

Phone(616) 685-8650

Fax(616) 791-2160

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 19, 2018

Last NPPES UpdateApril 13, 20223 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1336633742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301502149✔ Licensed in MI · 4351041142✔ Licensed in MI · 4301115644

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1175 WILSON AVE NW, Walker, MI 49534

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Secondary Practice Locations 2

Location 1300 Lafayette Ave SE Ste 4000Grand Rapids, MI 49503-4692 · Phone (616) 685-5922

Location 2200 Jefferson Ave SEGrand Rapids, MI 49503-4502 · Phone (616) 685-6922 · Fax (616) 685-8910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dexter Robert Mckellar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840548103

PECOS Enrollment IDI20200724002043

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

52 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49534 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$197.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

KELSEY BROWN PT

Physical Therapist

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 284-3686

TAMI NYSSE NP

Nurse Practitioner (Family)

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 685-8650

AUTUMN LUKE

Physical Therapist

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 284-3686

DR. BENNETT GEORGE RIDDERING MD

Family Medicine

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 685-8650

GABRIELLE ELIZABETH BARRINGER MD

Family Medicine

1175 WILSON AVE NW
GRAND RAPIDS, MI 49534

Ottawa County (616) 685-8650

DR. QURATULAIN A AZIZ MD

Internal Medicine

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 685-8650

MARY MARTELL DPT

Physical Therapist

1175 WILSON AVE NW
GRAND RAPIDS, MI 49534

Ottawa County (616) 577-8183

WENDY L BRADLEY PT

Physical Therapist

1175 WILSON AVE NW
WALKER, MI 49534

Ottawa County (616) 284-3686

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 Dexter Mckellar's NPI number?

The NPI number for Dexter Mckellar is 1336633742. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Dexter Mckellar located?

Dexter Mckellar practices at 1175 Wilson Ave NW, Walker, MI 49534. The listed phone number is (616) 685-8650.

What is Dexter Mckellar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dexter Mckellar enrolled in Medicare?

Yes. Dexter Mckellar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dexter Mckellar accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Dexter Mckellar 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.

Is Dexter Mckellar affiliated with any hospitals?

According to CMS data, Dexter Mckellar is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Dexter Mckellar was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.