1. Home
  2. Directory
  3. Washington
  4. Olympia
  5. Dentist
  6. NPI Profile

DR. MICHAEL R. KELSON D.D.S.
NPI 1356681407
Dentist - Oral and Maxillofacial Surgery in Olympia, WA

Active since February 27, 2013Opted out of Medicare · through Oct 4, 2027
3624 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506(360) 923-5412(360) 923-5382 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael R. Kelson D.d.s. NPPES

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

DR. MICHAEL R. KELSON D.D.S. (NPI 1356681407) is an individual oral and maxillofacial surgery provider in Olympia, Washington, licensed in Washington (7100) and active in the NPI registry since February 2013. He has opted out of Medicare through October 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356681407
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL R. KELSONCredential: D.D.S.
Location Address3624 ENSIGN RD NE, SUITE AOlympia, WA 98506-5074
Mailing Address3624 Ensign Rd Ne, Suite AOlympia, WA 98506-5074 · (360) 923-5412 · Fax (360) 923-5382
Phone(360) 923-5412
Fax(360) 923-5382
Sole ProprietorNo
Enumeration DateFebruary 27, 2013
✔ NPI 1356681407 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 WA · 7100
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.

3624 ENSIGN RD NE, Olympia, WA 98506
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael R. Kelson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2013 through October 4, 2027.

Opt-Out Effective DateOctober 4, 2013
Opt-Out In Effect ThroughOctober 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 18

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

BRYAN D WALES MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 493-6400
CHARLES RICHARD HARDING MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 493-6400
SARA MICHELLE ELLSWORTH MA
Counselor (Mental Health)
3624 ENSIGN RD NE, SUITE 5
OLYMPIA, WA 98506
Thurston County (360) 412-7950
DONALD LEE VOLKMANN MD
Anesthesiology
3624 ENSIGN RD NE, STE. B
OLYMPIA, WA 98506
Thurston County (360) 493-6400
STEPHEN J LINDBERG MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 493-6400
WILLIAM LEWIS CONKLIN MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 438-6435
WILLIAM BEPPU MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 493-6400
KEVIN BLACKMON MD
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Thurston County (360) 493-6400

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 Michael Kelson's NPI number?

The NPI number for Michael Kelson is 1356681407. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Michael Kelson located?

Michael Kelson practices at 3624 Ensign Rd NE Suite A, Olympia, WA 98506. The listed phone number is (360) 923-5412.

What is Michael Kelson's specialty?

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

Is Michael Kelson enrolled in Medicare?

No. Michael Kelson has opted out of Medicare through October 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Kelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michael Kelson 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 Michael Kelson was last updated on February 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.