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DR. ROBERT DOUGLAS KELSCH DMD
NPI 1972505493
Dentist - Oral and Maxillofacial Pathology in New Hyde Park, NY

Active since August 15, 2005PECOS Enrolled
91.25/100
CMS Quality Rating
27005 76TH AVE, DEPARTMENT OF DENTAL MEDICINE, NEW HYDE PARK, NY 11040(718) 470-7120(718) 347-3483 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Robert Douglas Kelsch Dmd NPPES

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

DR. ROBERT DOUGLAS KELSCH DMD (NPI 1972505493) is an individual oral and maxillofacial pathology provider in New Hyde Park, New York, licensed in New York (044565) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1972505493
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. ROBERT DOUGLAS KELSCHCredential: DMD
Location Address27005 76TH AVE, DEPARTMENT OF DENTAL MEDICINENew Hyde Park, NY 11040-1433
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1433 · (718) 470-7120 · Fax (718) 347-3483
Phone(718) 470-7120
Fax(718) 347-3483
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972505493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in NY · 044565
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
27005 76TH AVE, New Hyde Park, NY 11040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Douglas Kelsch Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618162140
PECOS Enrollment IDI20101110000859
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Robert Kelsch reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

White Hall Dental, PC
Same address
Dentist
27005 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
NPI 1376268821 (718) 470-7110
North Shore - Lij Medical PC
0.5 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Black Hall Dental, P.C.
1.6 mi
Oral and Maxillofacial Surgery
400 COMMUNITY DR
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Black Hall Dental PC
  • 12 clinicians in this Medicare group
NPI 1356091516 (516) 562-4525
North Shore Long Island Jewish Health Care Inc
2.4 mi
Orthopaedic Surgery
825 NORTHERN BLVD, SUITE 201
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Northwell Healthcare Inc
  • 211 clinicians in this Medicare group
NPI 1487082657 (516) 773-7500
Montefiore Medical Center
13 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1275710519 (New York)
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
571 services521 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
266 services184 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
39 services38 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
22 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

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 Robert Kelsch's NPI number?

The NPI number for Robert Kelsch is 1972505493. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Robert Kelsch located?

Robert Kelsch practices at 27005 76th Ave Department Of Dental Medicine, New Hyde Park, NY 11040. The listed phone number is (718) 470-7120.

What is Robert Kelsch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Robert Kelsch enrolled in Medicare?

Yes. Robert Kelsch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Kelsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kelsch reassigns Medicare benefits to 5 organizations: White Hall Dental, PC (New Hyde Park, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Black Hall Dental, P.C. (Manhasset, NY), North Shore Long Island Jewish Health Care Inc (Great Neck, NY) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Kelsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Kelsch accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Robert Kelsch 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.

Is Robert Kelsch affiliated with any hospitals?

According to CMS data, Robert Kelsch is affiliated with Montefiore Medical Center and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Kelsch 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.