DR. KEVIN JOHN KELLERMAN (D.M.D.) – General Practice Dentistry, NPI 1962419317
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KEVIN JOHN KELLERMAN (D.M.D.)
16 JUNCTION DR W
SUITE 101
GLEN CARBON, IL 620342996
Phone: (618) 228-3100
Fax: (618) 288-3434
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,396.
Total Amount is formed as General ($1,396) + Research ($0) + Ownership ($0) = $1,396.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Ultradent Products Inc ($565).
Total Amount
$1,396
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultradent Products Inc | $565 |
| Straumann USA LLC | $478 |
| Hu-Friedy Mfg. Co., LLC | $126 |
| PATTERSON COMPANIES, INC. | $95 |
| Align Technology, Inc. | $93 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-12
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62034)
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