DR. KEVIN ROGER GILLESPIE DMD
NPI 1659324929
Dentist - Periodontics in Jbsa Ft Sam Houston, TX

Active since May 18, 2006Opted out of Medicare · through Jun 7, 2028
3698 CHAMBERS PASS, JBSA FT SAM HOUSTON, TX 78234(210) 539-3219 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Dr. Kevin Roger Gillespie Dmd NPPES

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

DR. KEVIN ROGER GILLESPIE DMD (NPI 1659324929) is an individual periodontics provider in Jbsa Ft Sam Houston, Texas, licensed in Virginia (0401415961) and active in the NPI registry since May 2006. He has opted out of Medicare through June 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659324929
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KEVIN ROGER GILLESPIECredential: DMD
Location Address3698 CHAMBERS PASSJbsa Ft Sam Houston, TX 78234-7766
Mailing Address3698 Chambers PassJbsa Ft Sam Houston, TX 78234-7766 · (210) 539-3219
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1659324929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in VA · 0401415961
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22280 (TX)
3698 CHAMBERS PASS, Jbsa Ft Sam Houston, TX 78234

Accepted Insurance

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. Kevin Roger Gillespie 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 June 7, 2018 through June 7, 2028.

Opt-Out Effective DateJune 7, 2018
Opt-Out In Effect ThroughJune 7, 2028Opt-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 78234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 8

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

Dentist
3698 CHAMBERS PASS
JBSA FORT SAM HOUSTON, TX 78234
Anesthesiology
3698 CHAMBERS PASS
FORT SAM HOUSTON, TX 78234
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3698 CHAMBERS PASS
JBSA FT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3698 CHAMBERS PASS, JOINT TRAUMA SYSTEM - LEADERSHIP SUITE
FT SAM HOUSTON, TX 78234
Surgery
3698 CHAMBERS PASS
FORT SAM HOUSTON, TX 78234
Dental Hygienist
3698 CHAMBERS PASS
SAN ANTONIO, TX 78234
Surgery
3698 CHAMBERS PASS
SAN ANTONIO, TX 78234
Internal Medicine (Infectious Disease)
3698 CHAMBERS PASS
JBSA FT SAM HOUSTON, TX 78234

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 Kevin Gillespie's NPI number?

The NPI number for Kevin Gillespie is 1659324929. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Kevin Gillespie located?

Kevin Gillespie practices at 3698 Chambers Pass, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 539-3219.

What is Kevin Gillespie's specialty?

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

Is Kevin Gillespie enrolled in Medicare?

No. Kevin Gillespie has opted out of Medicare through June 7, 2028. 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.

What insurance does Kevin Gillespie accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Kevin Gillespie 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 Kevin Gillespie was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.