DR. PAUL JOHN KELLY DDS, MS
NPI 1447202148
Dentist - Oral and Maxillofacial Surgery in Gilbert, AZ

Active since May 17, 2006Opted out of Medicare · through Feb 7, 2027
726 N GREENFIELD RD, SUITE 117, GILBERT, AZ 85234(480) 685-9696(480) 378-3565 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul John Kelly Dds, Ms NPPES

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

DR. PAUL JOHN KELLY DDS, MS (NPI 1447202148) is an individual oral and maxillofacial surgery provider in Gilbert, Arizona, licensed in Arizona (D6913) and active in the NPI registry since May 2006. He has opted out of Medicare through February 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447202148
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL JOHN KELLYCredential: DDS, MS
Location Address726 N GREENFIELD RD, SUITE 117Gilbert, AZ 85234-5061
Mailing Address726 N Greenfield Rd, Suite #117Gilbert, AZ 85234-5061 · (480) 685-9696 · Fax (480) 378-3565
Fax(480) 378-3565
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 1, 2015
NPI 1447202148 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 AZ · D6913
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.
726 N GREENFIELD RD, Gilbert, AZ 85234

Other Identifiers 1

OtherD6913AZ · Dental License

Accepted 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. Paul John Kelly Dds, Ms 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 February 7, 2017 through February 7, 2027.

Opt-Out Effective DateFebruary 7, 2017
Opt-Out In Effect ThroughFebruary 7, 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 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 19

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

Psychiatry & Neurology (Neurology)
726 N GREENFIELD RD, SUITE 110
GILBERT, AZ 85234
Behavior Technician
726 N GREENFIELD RD
GILBERT, AZ 85234
Surgery
726 N GREENFIELD RD, SUITE 105
GILBERT, AZ 85234
Behavior Technician
726 N GREENFIELD RD
GILBERT, AZ 85234
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
726 N GREENFIELD RD, #110
GILBERT, AZ 85234
Dentist (Oral and Maxillofacial Surgery)
726 N GREENFIELD RD, SUITE #117
GILBERT, AZ 85234
Behavior Technician
726 N GREENFIELD RD
GILBERT, AZ 85234
Orthopaedic Surgery
726 N GREENFIELD RD, SUITE 108
GILBERT, AZ 85234

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 Paul Kelly's NPI number?

The NPI number for Paul Kelly is 1447202148. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Paul Kelly located?

Paul Kelly practices at 726 N Greenfield Rd Suite 117, Gilbert, AZ 85234. The listed phone number is (480) 685-9696.

What is Paul Kelly's specialty?

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

Is Paul Kelly enrolled in Medicare?

No. Paul Kelly has opted out of Medicare through February 7, 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 Paul Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Paul 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 Paul Kelly was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.