Derek Allan Keller, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05580 Issued in KY

Practice address

316 W 2ND St
Morehead, KY 40351-1550

Phone

(606) 784-3771

Fax

(606) 783-6847

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score

73.64 of 100Reported as group

Quality

56.63

Improvement activities

40

Cost

74.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• St Claire Medical Center, Inc.,

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535

  Family Medicine

  Medicare reassignment Care Compare group NPD
• St Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Regional Radiology Physicians Services

  • Diagnostic Radiology Physician
  • Morehead, KY
  • NPI 1710987508
  NPD
• St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Owingsville, KY
  • NPI 1134180920
  NPD
• St. Claire Medical Center, Inc

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1265493993
  NPD
• St. Claire Medical Center, Inc

  • Family Medicine Physician
  • Morehead, KY
  • NPI 1326009044
  NPD
• St. Claire Medical Center,Inc

  • Rural Health Clinic/Center
  • Sandy Hook, KY
  • NPI 1447212493
  NPD
• St. Claire Medical Center,Inc

  • Rural Health Clinic/Center
  • Olive Hill, KY
  • NPI 1639131527
  NPD
• Sprocket Medical Management LLC

  • General Practice Physician
  • Hobbs, NM
  • NPI 1801859319
  NPD (past)

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

• St Claire Medical Center Inc

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1720615123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511179",
            "country_code": "US",
            "telephone_number": "606-783-6455",
            "fax_number": "606-783-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DEREK",
        "middle_name": "ALLAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "05580",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100766020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Kaufmann, DO
• Cassie Lanea Kazee
• Kitrina Lou Kearfott, M.D.
• Melinda Keeton
• Melissa Keeys
• Jeremy Steven Keller, D.O.
• Jordan Kelley, ATC
• Marc Kelly, LCSW
• Sherrie Lee Keltner, PMHNP-BC
• Kenneth J Smith DDS PSC

• Family Medicine Physician in Morehead, KY
• Providers in Morehead, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.

Verify at the official NPI Registry.