DR. KELLEY RAY MINGUS D.M.D
NPI 1447259262
Dentist - General Practice in Bend, OR

Q: What is Kelley Mingus's NPI number?

The NPI number for Kelley Mingus is 1447259262. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Kelley Mingus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Kelley Mingus enrolled in Medicare?

No. Kelley Mingus has opted out of Medicare through October 1, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Kelley Mingus was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 July 14, 2005Opted out of Medicare · through Oct 1, 2026

225 SCALEHOUSE LOOP STE 101, BEND, OR 97702(541) 382-6565(541) 382-6776 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kelley Ray Mingus D.m.d NPPES

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

DR. KELLEY RAY MINGUS D.M.D (NPI 1447259262) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D7191) and active in the NPI registry since July 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447259262

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLEY RAY MINGUSCredential: D.M.D

Location Address225 SCALEHOUSE LOOP STE 101Bend, OR 97702-1241

Mailing Address225 Scalehouse Loop Ste 101Bend, OR 97702-1241 · (541) 382-6565 · Fax (541) 382-6776

Phone(541) 382-6565

Fax(541) 382-6776

Sole ProprietorYes

Enumeration DateJuly 14, 2005

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1447259262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7191

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License D7191 (OR)

225 SCALEHOUSE LOOP STE 101, Bend, OR 97702

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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. Kelley Ray Mingus D.m.d 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 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-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 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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 Kelley Mingus's NPI number?

The NPI number for Kelley Mingus is 1447259262. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Kelley Mingus located?

Kelley Mingus practices at 225 Scalehouse Loop Ste 101, Bend, OR 97702. The listed phone number is (541) 382-6565.

What is Kelley Mingus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelley Mingus enrolled in Medicare?

No. Kelley Mingus has opted out of Medicare through October 1, 2026. 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.

When was this NPI record last updated?

The NPPES record for Kelley Mingus was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.