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DR. STEPHEN S. KELLY DMD
NPI 1528053204
Dentist - Oral and Maxillofacial Surgery in Grand Junction, CO

Active since September 19, 2005Opted out of Medicare · through Dec 5, 2026
2530 N 8TH ST, SUITE 103, GRAND JUNCTION, CO 81501(970) 245-2222(970) 243-4438 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen S. Kelly Dmd NPPES

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

DR. STEPHEN S. KELLY DMD (NPI 1528053204) is an individual oral and maxillofacial surgery provider in Grand Junction, Colorado, licensed in Colorado (104240) and active in the NPI registry since September 2005. He has opted out of Medicare through December 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528053204
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. STEPHEN S. KELLYCredential: DMD
Location Address2530 N 8TH ST, SUITE 103Grand Junction, CO 81501-8857
Mailing Address2530 N 8th St, Suite 103Grand Junction, CO 81501-8857 · (970) 245-2222 · Fax (970) 243-4438
Phone(970) 245-2222
Fax(970) 243-4438
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJune 3, 2008
✔ NPI 1528053204 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 CO · 104240
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.
2530 N 8TH ST, Grand Junction, CO 81501
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Other Identifiers 3

Medicare ID-Type Unspecified74655CO
Medicaid04014940CO
Medicare UPINT60795CO

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. Stephen S. Kelly Dmd 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 December 5, 2012 through December 5, 2026.

Opt-Out Effective DateDecember 5, 2012
Opt-Out In Effect ThroughDecember 5, 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 81501 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 6

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

DR. DALE E. BOWEN PH.D.
Clinical Neuropsychologist
2530 N 8TH ST, SUITE 204
GRAND JUNCTION, CO 81501
Mesa County (970) 245-3505
CALLEE COSBY CLARK DDS
Dentist (Endodontics)
2530 N 8TH ST, SUITE 106
GRAND JUNCTION, CO 81501
Mesa County (970) 243-7392
DR. STEPHEN DAVID FANTE DDS
Dentist (Endodontics)
2530 N 8TH ST, STE 106
GRAND JUNCTION, CO 81501
Mesa County (970) 243-7392
JOHN L GUSTAVSON PH.D.
Clinical Neuropsychologist
2530 N 8TH ST, SUITE 204
GRAND JUNCTION, CO 81501
Mesa County (970) 245-3505
RICHARD E. STIEFLER, M.D.
Dermatology
2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501
Mesa County (970) 245-1500
C.W. DERM, LLC
Dermatology
2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501
Mesa County (970) 245-1500

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 Stephen Kelly's NPI number?

The NPI number for Stephen Kelly is 1528053204. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Stephen Kelly located?

Stephen Kelly practices at 2530 N 8th St Suite 103, Grand Junction, CO 81501. The listed phone number is (970) 245-2222.

What is Stephen Kelly's specialty?

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

Is Stephen Kelly enrolled in Medicare?

No. Stephen Kelly has opted out of Medicare through December 5, 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 Stephen Kelly was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.