DR. ROBERT MILES KELSO D.D.S.
NPI 1487787172
Dentist - General Practice in Knoxville, TN

Active since March 13, 2007PECOS Enrolled
6231 HIGHLAND PLACE WAY STE 202, KNOXVILLE, TN 37919(865) 588-6534(865) 588-2576 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Miles Kelso D.d.s. NPPES

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

DR. ROBERT MILES KELSO D.D.S. (NPI 1487787172) is an individual general practice provider in Knoxville, Tennessee, licensed in Tennessee (8033) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1487787172
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT MILES KELSOCredential: D.D.S.
Location Address6231 HIGHLAND PLACE WAY STE 202Knoxville, TN 37919-4083
Mailing Address6231 Highland Place Way Ste 202Knoxville, TN 37919-4083 · (865) 588-6534 · Fax (865) 588-2576
Fax(865) 588-2576
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1487787172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · 8033
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.
6231 HIGHLAND PLACE WAY STE 202, Knoxville, TN 37919

Secondary Practice Location 1

Location 16311 Kingston Pike, Suite 3EKnoxville, TN 37919-4906 · Phone (865) 588-6534 · Fax (865) 588-2576

Other Identifiers 2

Other4062119TN · Blue Cross Blue Shield Tn
Other450517441TN · Federal Tax Id

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Robert Miles Kelso D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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.

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 Robert Kelso's NPI number?

The NPI number for Robert Kelso is 1487787172. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Robert Kelso located?

Robert Kelso practices at 6231 Highland Place Way Ste 202, Knoxville, TN 37919. The listed phone number is (865) 588-6534.

What is Robert Kelso's specialty?

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

Is Robert Kelso enrolled in Medicare?

Yes. Robert Kelso is registered in the Medicare PECOS enrollment system.

What insurance does Robert Kelso accept?

Health plans from Humana list Robert Kelso 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 Robert Kelso was last updated on April 20, 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.