MR. KEITH ALAN DISMUKES (MD) – Family Medicine Physician, NPI 1295749059
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for MR. KEITH ALAN DISMUKES (MD)
PO BOX 650
DEMOPOLIS, AL 36732
Phone: (334) 289-0499
Fax: (334) 289-3013
Type: Mailing
202 HWY 80 EAST
DEMOPOLIS, AL 36732
Phone: (334) 289-0499
Fax: (334) 289-3013
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Novo Nordisk Inc ($29).
Total Amount
$60
General + Research + Ownership
Payments
4
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $29 |
| Lilly USA, LLC | $17 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100202000065 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,990 | 125 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 655 | 308 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 607 | 168 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 384 | 245 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 292 | 183 | $0 |
Insurance plans in this area (ZIP 36732)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 73630 | X-ray of foot, minimum of 3 views | 54 | 25 |
| FAMILY MEDICINE | AL | 82270 | Stool analysis for blood to screen for colon tumors | 75 | 75 |
| FAMILY MEDICINE | AL | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
| FAMILY MEDICINE | AL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 52 | 49 |
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