KEVIN R. KELLER (MD) – Allergy & Immunology Physician, NPI 1790720795
Allergy & Immunology Physician
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Profile Insights
NPPES metrics only — not quality of care.
39 ALLERGY/IMMUNOLOGY in AR
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Provider Addresses for KEVIN R. KELLER (MD)
Fayetteville Post Office, 12, West Dickson Street, Fayetteville, Washington County, Arkansas, 72701, United States
FAYETTEVILLE, AR 727021523
Phone: (479) 521-8200
Fax: (479) 582-7310
Type: Mailing
Fayetteville Diagnostic Clinic, 3344, North Futrall Drive, North Hills Medical Park, Fayetteville, Washington County, Arkansas, 72703, United States
FAYETTEVILLE, AR 727034057
Phone: (479) 521-8200
Fax: (479) 582-7310
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5186
Type: Mailing
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: 2017-02-06
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 |
|---|---|---|---|---|
| I20170206002473 | I | Allergy/Immunology | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 14 | 14 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 13 | 13 | $0 |
Insurance plans in this area (ZIP 72702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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