DR. KELLY S OGGERO M.D.
NPI 1417990730
Surgery in Kingsport, TN

Q: What is Kelly Oggero's NPI number?

The NPI number for Kelly Oggero is 1417990730. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Kelly Oggero's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Oggero was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 14, 2006PECOS EnrolledAccepts Medicare Assignment

130 W RAVINE RD STE 3A, KINGSPORT, TN 37660(423) 245-6101 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2023, Oct 31, 2017 (2 updates tracked since 2017).

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About Dr. Kelly S Oggero M.d. NPPES

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

DR. KELLY S OGGERO M.D. (NPI 1417990730) is an individual surgery provider in Kingsport, Tennessee, licensed in Tennessee (50412) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of University Of Texas Medical School At Houston (1985).

NPPES Registry Identity

NPI1417990730

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. KELLY S OGGEROCredential: M.D.

Location Address130 W RAVINE RD STE 3AKingsport, TN 37660-3841

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 245-6101

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1985

Enumeration DateJune 14, 2006

Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration

NPPES CertifiedOctober 9, 2023

✔ NPI 1417990730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TN · 50412✔ Licensed in TX · H0700

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

130 W RAVINE RD STE 3A, Kingsport, TN 37660

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Other Identifiers 1

MedicaidP000G86F4TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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 and accepts Medicare assignment

Dr. Kelly S Oggero M.d. 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 ID2567549579

PECOS Enrollment IDI20130813000662

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$2.77 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.51 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$6.01 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims480 services$0.31 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier11 claims275 services$0.22 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 14

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

MR. CHARLES DAVID BRAY FNP-BC

Nurse Practitioner (Family)