NPPES file of Aug 9, 2026

Kelly Jo Phillips, DDS

General Practice Dentistry · Worthington, MN

Kelly Jo Phillips, DDS is a general practice dentistry with a practice address in Worthington, Minnesota, and NPI 1922167410, issued on Dec 8, 2006. Check the license (Minnesota D12193, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1922167410
Name
Kelly Jo Phillips
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
D12193 MN
Self-reported in NPPES; status is on the state search
Practice location
1316 Mcmillan St, Worthington, MN 56187
Phone
(507) 376-5525
Enumerated
Dec 8, 2006
Record last updated
Oct 15, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(507) 376-3796
Medicaid ID
687623400 MN
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1316 Mcmillan St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Savannah BowenDentist1902414311
  2. Angela Johnson, RDHDental Hygienist1487830360
  3. Jerry Johnson, D.D.SGeneral Practice Dentistry1316975568
  4. Alyssa NordellDental Hygienist1578749743
  5. Valerie Vadnais, DMDGeneral Practice Dentistry1588786164

Verify Kelly Jo Phillips in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license D12193
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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10% more Medicare Part D claims than the average general practice dentistry in 2024

91 Medicare Part D claims for 46 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D.

  1. Kelly Phillips91
  2. Specialty average83

Most prescribed

  1. Amoxicillin53 claims
  2. Penicillin V Potassium14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $58.17

3 payments; by number, the most common kind was food and beverage; the largest payer was Align Technology, Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kelly Phillips$58.17
  2. Specialty average$597.01

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Kelly Jo Phillips among 2,177 general practice dentistry records in Minnesota

Kelly Jo Phillips, DDS is one of 2,177 general practice dentistry records with a practice address in Minnesota. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 51% newer
  • In a Medicare fileYes · 58% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2012 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

8 general practice dentistry records list a practice address in Worthington

They are 8 of the 210 NPPES records with a practice address in Worthington, and 2,177 general practice dentistry records in Minnesota.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Bryan Broussard, D.D.S.Worthington, MN 561871659761351
  2. Paul Carlson, D.D.S.Worthington, MN 561871316224363
  3. Tracy Grossman, DDSWorthington, MN 561871750541918
  4. Jerry Johnson, D.D.SWorthington, MN 561871316975568
  5. Maureen Sorensen, D.D.S.Worthington, MN 561871841418589
  6. Grant Sorensen, D.D.S.Worthington, MN 561871396963070
  7. Valerie Vadnais, DMDWorthington, MN 561871588786164
  8. Bruce Mathiason, DDSWalnut Grove, MN 561801366405722

Common questions

What is Kelly Jo Phillips, DDS's NPI number?

Kelly Jo Phillips, DDS's National Provider Identifier (NPI) is 1922167410, issued on Dec 8, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Jo Phillips, DDS located?

The NPPES record lists a practice address at 1316 Mcmillan St, Worthington, MN, 56187. Phone: (507) 376-5525. Providers update this record themselves, so call before visiting.

How can I verify Kelly Jo Phillips, DDS's license?

NPPES lists Minnesota license number D12193, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

How much does Kelly Jo Phillips, DDS prescribe under Medicare Part D?

In 2024, Kelly Jo Phillips, DDS had 91 Medicare Part D claims for 46 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.