DEATRICE LUMAE KELLOGG MD
NPI 1528007416
Family Medicine in Springfield, MO

Q: What is Deatrice Kellogg's NPI number?

The NPI number for Deatrice Kellogg is 1528007416. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Deatrice Kellogg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Deatrice Kellogg was last updated on June 4, 2024. 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 06, 2006PECOS EnrolledAccepts Medicare Assignment

4457 S FARM ROAD 145, SPRINGFIELD, MO 65810(417) 830-4701 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Deatrice Lumae Kellogg Md NPPES

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

DEATRICE LUMAE KELLOGG MD (NPI 1528007416) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (2012030150) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1995).

NPPES Registry Identity

NPI1528007416

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDEATRICE LUMAE KELLOGGCredential: MD

Location Address4457 S FARM ROAD 145Springfield, MO 65810-1414

Mailing Address4457 S Farm Road 145Springfield, MO 65810-1414 · (417) 830-4701

Phone(417) 830-4701

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1995

Enumeration DateJune 6, 2006

Last NPPES UpdateJune 4, 2024

NPPES CertifiedJune 4, 2024

✔ NPI 1528007416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2012030150

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4457 S FARM ROAD 145, Springfield, MO 65810

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Other Identifiers 3

Other7300116Uhc

Other191723Ghp

OtherP00302605Rr Medicare

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

Deatrice Lumae Kellogg Md 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 ID446144059

PECOS Enrollment IDI20121112000598

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 65810 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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 13

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier31 claims31 services$22.15 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

2 suppliers37 claims37 services$3.98 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers47 claims47 services$8.38 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 supplier13 claims235 services$4.93 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier11 claims88 services$2.28 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier13 claims235 services$4.35 avg. paid by Medicare

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

Other Providers at the Same Location NPPES

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

DLK MEDICINE LLC

Family Medicine

4457 S FARM ROAD 145
SPRINGFIELD, MO 65810

Greene County (417) 830-4701

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 Deatrice Kellogg's NPI number?

The NPI number for Deatrice Kellogg is 1528007416. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Deatrice Kellogg located?

Deatrice Kellogg practices at 4457 S Farm Road 145, Springfield, MO 65810. The listed phone number is (417) 830-4701.

What is Deatrice Kellogg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deatrice Kellogg enrolled in Medicare?

Yes. Deatrice Kellogg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deatrice Kellogg was last updated on June 4, 2024. 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.