Kenneth Keller, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Fort Morgan, CO
NPI 1104976802 · NPPES record last updated Jul 30, 2012
Key facts
- NPI
- 1104976802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 36926 (CO)
- Practice address
- 220 E Beaver Ave
Fort Morgan, CO 80701-3103 - Phone
- (970) 542-1707
- Fax
- (970) 542-1708
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- JS Weill Medical College, Cornell University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catholic Health Initiatives Colorado
Practice addresses (Care Compare)
1000 Lincoln St
Fort Morgan, CO 80701-3290
1000 Lincoln St 207 Neuro
Centura Neurology Ft Morgan
Fort Morgan, CO 80701-3290
Phone (970) 867-6430
41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780
Hospital & facility affiliations
- Colorado Plains Medical Center Home Care
- St Elizabeth Hospital
- Haxtun Hospital District
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.01 of 100
- Quality
- 76.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120723000754 | CO | Practitioner - Orthopedic Surgery | 1658354543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36926 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Orthopaedic Surgery | Current |
Accepting new patients |
| Colorado Plains Physician Practices LLC | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Current |
Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216
1000 Lincoln St
Ste 100
Fort Morgan, CO 80701
Phone (970) 542-1707
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 36926 | CO | Yes |
Addresses
Primary practice location
220 E Beaver Ave
Fort Morgan, CO 80701-3103
Mailing address
220 E Beaver Ave
Fort Morgan, CO 80701-3103
Phone (970) 542-1707
Other providers in Fort Morgan, CO
- Thomas E. Kasper
- Rominder Kaur
- Alexandra F. Keenan
- Kellye Kehoe
- David Wolf Keller
- Shenae Marcene Kembel
- Kenneth Keller MD PC
- Lora Kopp-Mahluza
- Kellie Koswick
- Donald Gale Kruglet
All providers in Fort Morgan, CO · Orthopaedic Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.