KEITH R PETERS (MD) – Diagnostic Radiology Physician, NPI 1659343036

KEITH R PETERS (MD) is a healthcare provider. based in Orlando, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME56329 (FL). The NPI Number for KEITH R PETERS (MD) is 1659343036

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KEITH R PETERS (MD)
NPI
1659343036
Phone
(352) 265-0291
Address
PO BOX 918025
Enumeration Date
1 February 2006
Last Update Date
26 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
8820996515
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20031219000236
Address ID
FL326069277GA4037XFLOO500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for KEITH R PETERS (MD)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone: (352) 265-0291

    Fax: (352) 265-0279

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0291

    Fax: (352) 265-0279

    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: 2003-12-19

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
I20031219000236IDiagnostic RadiologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast324303$0
72125Ct scan of upper spine without contrast133132$0
70498Ct scan of blood vessels of neck with contrast9694$0
70496Ct scan of blood vessels of head with contrast8581$0
70553Mri scan of brain before and after contrast7575$0
View full utilization report →

Insurance plans in this area (ZIP 32891)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

How do payers reference KEITH R PETERS (MD)?
For KEITH R PETERS (MD), use NPI 1659343036 as the unique 10-digit identifier.
Is KEITH R PETERS (MD) still an active registrant?
KEITH R PETERS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to KEITH R PETERS (MD)?
KEITH R PETERS (MD)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is KEITH R PETERS (MD) registered?
Use Orlando, Florida as the headline location for KEITH R PETERS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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