DR. CARY S KELLER (M.D.) – Orthopaedic Surgery Physician, NPI 1992817175

DR. CARY S KELLER (M.D.) is a healthcare provider. based in Fairbanks, Alaska. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. AA3013 (AK). The NPI Number for DR. CARY S KELLER (M.D.) is 1992817175

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARY S KELLER (M.D.)
NPI
1992817175
Phone
(907) 451-6561
Address
1919 LATHROP ST
Enumeration Date
31 August 2006
Last Update Date
21 November 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
9074593500
Graduation Year
1978 (48 years ago)
PAC ID
2769374214
Group Practice PAC ID
5698056901
Professional Enrollment ID
I20040915000263
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CARY S KELLER (M.D.)

  • 1919, Lathrop Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    STE 105

    FAIRBANKS, AK 997015937

    Phone: (907) 451-6561

    Fax: (907) 451-4847

    Type: Mailing

  • 751, Old Richardson Highway, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    STE# 200

    FAIRBANKS, AK 997017813

    Phone: (907) 451-6561

    Fax: (907) 451-4847

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040915000263IOrthopedic SurgeryAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698056901View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)AK
A N E S T H E S I O L O G YMD
P S Y C H I A T R YWA
H O S P I T A L I S TCA
Emergency MedicineAK
U R O L O G YAK
Certified Registered Nurse Anesthetist (Crna)ID
Family PracticeAK
-AK

Reviews

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Frequently asked questions

Can I cross-check DR. CARY S KELLER (M.D.) using NPI 1992817175?
NPI 1992817175 belongs to DR. CARY S KELLER (M.D.); compare other details if you need extra assurance.
Is DR. CARY S KELLER (M.D.) still an active registrant?
DR. CARY S KELLER (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. CARY S KELLER (M.D.)?
DR. CARY S KELLER (M.D.) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CARY S KELLER (M.D.) located near Fairbanks?
DR. CARY S KELLER (M.D.) currently maps to Fairbanks, Alaska in this extract.
Can I trust this NPI listing for DR. CARY S KELLER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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