Individual provider Active NPI

Keegan Anthony Harkins, M.D.

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1053758136
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29341 Issued in NE
Practice address
3902 Leavenworth St
Omaha, NE 68105-1119
Phone
(402) 559-2020
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2017-01435 NC
Ophthalmology Physician 207W00000X 29341 NE Primary

Addresses

Primary practice location

3902 Leavenworth St
Omaha, NE 68105-1119

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NE, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170821001776 NC Practitioner - Ophthalmology 3375815715
I20190828001521 NE Practitioner - Ophthalmology 3375815715 Reassigns benefits to 1 organization
I20220418002090 WY Practitioner - Ophthalmology 3375815715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01435NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Trail Eye Center, PC Ophthalmology CurrentSince Sep 3, 2019 Accepting new patients

Locations

329 W 40th St
Scottsbluff, NE 69361
Phone (308) 635-3911

700 E Center St
Douglas, WY 82633
Phone (307) 352-8946

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

Interoperability endpoints

  • Direct secure messaging: keegan.harkins@direct.otec.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Trail Eye Center PC 5 clinicians

Practice addresses (Care Compare)

329 W 40TH St
Scottsbluff, NE 69361-4634
Phone (308) 635-3911

700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-2122

Hospital & facility affiliations

  • Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355
  • Cherry County Hospital Hospital, Valentine, NE, CCN 281344
  • Perkins County Health Services Hospital, Grant, NE, CCN 281356
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302

Merit-based Incentive Payment System (MIPS)

Final score
31.28 of 100Reported as group
Quality
19.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
98.54
Improvement activities
40
Cost
68.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1053758136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051119",
            "telephone_number": "402-559-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "KEEGAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2017-01435",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "29341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.