DR. KERRY M KAYSSERIAN DDS
NPI 1528162872
Dentist - General Practice in Traverse City, MI

Q: What is Kerry Kaysserian's NPI number?

The NPI number for Kerry Kaysserian is 1528162872. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Q: What is Kerry Kaysserian's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerry Kaysserian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 08, 2006PECOS Enrolled

550 MUNSON AVENUE, SUITE 102, TRAVERSE CITY, MI 49686(231) 935-8461(231) 935-8467 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kerry M Kaysserian Dds NPPES

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

DR. KERRY M KAYSSERIAN DDS (NPI 1528162872) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (012813) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528162872

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KERRY M KAYSSERIANCredential: DDS

Location Address550 MUNSON AVENUE, SUITE 102Traverse City, MI 49686

Mailing Address550 Munson Avenue, Suite 102Traverse City, MI 49686 · (231) 935-8461 · Fax (231) 935-8467

Phone(231) 935-8461

Fax(231) 935-8467

Sole ProprietorNo

Enumeration DateSeptember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528162872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 012813

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.

550 MUNSON AVENUE, Traverse City, MI 49686

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Other Identifiers 1

Medicaid4183660MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Kerry M Kaysserian Dds 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 49686 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES

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

DR. ROB R LOVELL DDS

Dentist (General Practice)

550 MUNSON AVENUE, SUITE 102
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 935-8461

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 Kerry Kaysserian's NPI number?

The NPI number for Kerry Kaysserian is 1528162872. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Kerry Kaysserian located?

Kerry Kaysserian practices at 550 Munson Avenue Suite 102, Traverse City, MI 49686. The listed phone number is (231) 935-8461.

What is Kerry Kaysserian's specialty?

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

Is Kerry Kaysserian enrolled in Medicare?

Yes. Kerry Kaysserian is registered in the Medicare PECOS enrollment system.

What insurance does Kerry Kaysserian accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 11 other insurers list Kerry Kaysserian 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 Kerry Kaysserian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.