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KELSEY KEARNS DDS
NPI 1639923097
Dentist - General Practice in Buffalo, NY

Active since April 12, 2024PECOS Enrolled
1520 SHERIDAN DR, BUFFALO, NY 14217(716) 768-2110 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Apr 12, 2024 (2 updates tracked since 2024).

About Kelsey Kearns Dds NPPES

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

KELSEY KEARNS DDS (NPI 1639923097) is an individual general practice provider in Buffalo, New York, licensed in New York (064848) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639923097
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKELSEY KEARNSCredential: DDS
Location Address1520 SHERIDAN DRBuffalo, NY 14217-1212
Mailing Address1520 Sheridan DrBuffalo, NY 14217-1212 · (716) 768-2110
Phone(716) 768-2110
Sole ProprietorNo
Enumeration DateApril 12, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1639923097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 064848
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.
1520 SHERIDAN DR, Buffalo, NY 14217
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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)

Kelsey Kearns 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 14217 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

VICTORIA DIVILIO DDS
Dentist
1520 SHERIDAN DR
BUFFALO, NY 14217
Erie County (716) 427-6453
VINCENT MICHAEL GAGLIARDO
Dentist
1520 SHERIDAN DR
BUFFALO, NY 14217
Erie County (716) 768-2110

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 Kelsey Kearns's NPI number?

The NPI number for Kelsey Kearns is 1639923097. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Kelsey Kearns located?

Kelsey Kearns practices at 1520 Sheridan Dr, Buffalo, NY 14217. The listed phone number is (716) 768-2110.

What is Kelsey Kearns's specialty?

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

Is Kelsey Kearns enrolled in Medicare?

Yes. Kelsey Kearns is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Kearns was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.