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DEREK RYAN KAELIN DDS
NPI 1689710873
Dentist - General Practice in Springfield, MO

Active since January 29, 2007PECOS Enrolled
540 W LASALLE ST, SPRINGFIELD, MO 65807(417) 887-1220(417) 887-0357 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Ryan Kaelin Dds NPPES

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

DEREK RYAN KAELIN DDS (NPI 1689710873) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (DEN 2003017125) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689710873
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDEREK RYAN KAELINCredential: DDS
Location Address540 W LASALLE STSpringfield, MO 65807-4712
Mailing Address2105 W. Kearney, Suite ASpringfield, MO 65803 · (417) 862-2468 · Fax (417) 863-6775
Phone(417) 887-1220
Fax(417) 887-0357
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1689710873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · DEN 2003017125
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.
540 W LASALLE ST, Springfield, MO 65807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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)

Derek Ryan Kaelin 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 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 10

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

CHANIN S ROPKA D.D.S.
Dentist (General Practice)
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
DR. WILLIAM BLAKE KEASTER D.D.S.
Dentist
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
ROBERT J ADAMS D.D.S.
Dentist (General Practice)
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
KALYN MARINO DMD
Dentist
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
F STANLEY HALL D.D.S.
Dentist (General Practice)
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
ALEXANDRA FANNING DDS
Dentist
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
STUART W SCOTT D.D.S.
Dentist (Pediatric Dentistry)
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220
STEVEN C SPONENBERG D.D.S.
Dentist (General Practice)
540 W LASALLE ST
SPRINGFIELD, MO 65807
Greene County (417) 887-1220

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 Derek Kaelin's NPI number?

The NPI number for Derek Kaelin is 1689710873. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Derek Kaelin located?

Derek Kaelin practices at 540 W Lasalle St, Springfield, MO 65807. The listed phone number is (417) 887-1220.

What is Derek Kaelin's specialty?

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

Is Derek Kaelin enrolled in Medicare?

Yes. Derek Kaelin is registered in the Medicare PECOS enrollment system.

What insurance does Derek Kaelin accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Derek Kaelin 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 Derek Kaelin was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.