DR. GORDON SOULE KILMER DDS, MS
NPI 1518055292
Dentist - Orthodontics and Dentofacial Orthopedics in Irvine, CA

Active since October 10, 2006PECOS Enrolled
4980 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604(949) 551-6913 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gordon Soule Kilmer Dds, Ms NPPES

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

DR. GORDON SOULE KILMER DDS, MS (NPI 1518055292) is an individual orthodontics and dentofacial orthopedics provider in Irvine, California, licensed in California (43614) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518055292
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. GORDON SOULE KILMERCredential: DDS, MS
Location Address4980 BARRANCA PKWY, SUITE 200Irvine, CA 92604-8645
Mailing Address1843 Port Kimberly PlNewport Beach, CA 92660-6621 · (949) 760-3636
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1518055292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 43614
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

4980 BARRANCA PKWY, Irvine, CA 92604

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. Gordon Soule Kilmer Dds, Ms 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 92604 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Orthopaedic Surgery (Sports Medicine)
4980 BARRANCA PKWY, SUITE 201
IRVINE, CA 92604
Family Medicine
4980 BARRANCA PKWY, SUITE 207
IRVINE, CA 92604
Dentist (General Practice)
4980 BARRANCA PKWY
IRVINE, CA 92604
Internal Medicine (Sleep Medicine)
4980 BARRANCA PKWY, SUITE 170
IRVINE, CA 92604
Physical Therapist
4980 BARRANCA PKWY, SUITE 202
IRVINE, CA 92604
Dentist (General Practice)
4980 BARRANCA PKWY, SUITE 208
IRVINE, CA 92604
Dentist (General Practice)
4980 BARRANCA PKWY, 160
IRVINE, CA 92604
Chiropractor
4980 BARRANCA PKWY, SUITE 195
IRVINE, CA 92604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518055292, enumerated as an "individual" on October 10, 2006.

The provider is located at 4980 BARRANCA PKWY SUITE 200 IRVINE, CA 92604 and the phone number is (949) 551-6913.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.