Active NPI
David Gerard McKeown, MBBCH MCH
- Surgery Physician
- Saint Marys, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD459994
- Practice address
- 761 Johnsonburg Rd Ste 130
Saint Marys, PA 15857-3480 - Phone
- (814) 781-1188
- Fax
- (814) 781-6828
- NPI assigned
- May 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD459994 | PA | Primary |
| Surgery Physician | 208600000X | L-255405 | MA |
Addresses
Primary practice location
761 Johnsonburg Rd Ste 130
Saint Marys, PA 15857-3480
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
1235 Old York Rd
Suite G20
Abington, PA 19001-3839
Phone (215) 517-1250
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Abington Hospital
- Holy Redeemer Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.06 of 100
- Quality
- 99.88
- Improvement activities
- 40
- Cost
- 83.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 101 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-255405 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Colon and Rectal Associates, LTD | Current | Accepting new patients | |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Dubois Regional Medical Center | Surgery | Past | Accepting new patients |
Locations
1235 Old York Rd
Ste G20
Abington, PA 19001
Phone (215) 517-1250
1650 Huntingdon Pike
Ste 309
Meadowbrook, PA 19046
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 5
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.
-
- Colon & Rectal Surgery Physician
- Abington, PA
- NPI 1639124720
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- Colon & Rectal Surgery Physician
- Abington, PA
- NPI 1962350744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1376988014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-4200",
"fax_number": "814-375-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 JOHNSONBURG RD STE 130",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573480",
"telephone_number": "814-781-1188",
"fax_number": "814-781-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEOWN",
"first_name": "DAVID",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "MBBCH MCH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD459994",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "L-255405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.