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DR. KYLE T. DORITY DMD
NPI 1548902240
Dentist - Periodontics in Newburgh, IN

Active since April 12, 2022PECOS Enrolled
4886 ROSEBUD LN, NEWBURGH, IN 47630(812) 473-4833 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Apr 12, 2022 (2 updates tracked since 2022).

About Dr. Kyle T. Dority Dmd NPPES

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

DR. KYLE T. DORITY DMD (NPI 1548902240) is an individual periodontics provider in Newburgh, Indiana, licensed in Indiana (1204677A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548902240
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KYLE T. DORITYCredential: DMD
Location Address4886 ROSEBUD LNNewburgh, IN 47630-9351
Mailing Address8106 Arbor Meadow WayLouisville, KY 40228-4412 · (435) 770-5302
Phone(812) 473-4833
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1548902240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in IN · 1204677A✔ Licensed in KY · 10789
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4886 ROSEBUD LN, Newburgh, IN 47630
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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. Kyle T. Dority Dmd 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 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

JAMES G WOODYARD, DMD, MS, PC
Clinic/Center (Dental)
4886 ROSEBUD LN
NEWBURGH, IN 47630
Warrick County (812) 499-4724

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 Kyle Dority's NPI number?

The NPI number for Kyle Dority is 1548902240. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Kyle Dority located?

Kyle Dority practices at 4886 Rosebud Ln, Newburgh, IN 47630. The listed phone number is (812) 473-4833.

What is Kyle Dority's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kyle Dority enrolled in Medicare?

Yes. Kyle Dority is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Dority was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.