DR. KEITH BAUER (PH.D.) – Clinical Psychologist, NPI 1770660193

DR. KEITH BAUER (PH.D.) is a healthcare provider. based in Fort myers, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY7433 (FL). The NPI Number for DR. KEITH BAUER (PH.D.) is 1770660193

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH BAUER (PH.D.)
NPI
1770660193
Phone
(239) 288-7322
Address
10507 WASHINGTONIA PALM WAY APT 3821
Enumeration Date
1 November 2006
Last Update Date
7 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2398295494
Graduation Year
1980 (46 years ago)
PAC ID
7416383401
Group Practice PAC ID
6204936305
Professional Enrollment ID
I20210317001910
Address ID
FL339073989FO12791LNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Loading map...

Provider Addresses for DR. KEITH BAUER (PH.D.)

  • 10507 WASHINGTONIA PALM WAY APT 3821

    FORT MYERS, FL 339666423

    Phone: (239) 288-7322

    Type: Mailing

  • South Crown Way, Wellington, Palm Beach County, Florida, 33414-9372, United States

    WELLINGTON, FL 334148718

    Phone: (561) 790-1191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2021-03-17

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
I20210317001910IClinical PsychologistFLTBD

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
96133Evaluation of neuropsychological test, each additional hour32080$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes32080$0
96132Evaluation of neuropsychological test, first hour8080$0
96136Administration of psychological or neuropsychological test, first 30 minutes8080$0
View full utilization report →

Insurance plans in this area (ZIP 33966)

Loading plans...

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: 6204936305View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical PsychologistCO
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerNY
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm DR. KEITH BAUER (PH.D.)'s NPI?
Yes. DR. KEITH BAUER (PH.D.) is listed with NPI 1770660193 in the public NPI dataset.
Is DR. KEITH BAUER (PH.D.) still practicing?
DR. KEITH BAUER (PH.D.) is currently listed as active in the public NPI registry.
What is DR. KEITH BAUER (PH.D.) best known for clinically?
Directory data describes DR. KEITH BAUER (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEITH BAUER (PH.D.)?
DR. KEITH BAUER (PH.D.)'s geographic hint is Fort Myers, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

Center for Psychology, PA

Clinical Neuropsychologist
12499 BRANTLEY COMMONS CT
NPI: 1952309296

REBECCA KIRKWOOD (PSY.D)

Clinical Psychologist
6150 Medical Park Loop
NPI: 1396728184
15051 SHELL POINT BLVD
NPI: 1922034545
PO BOX 07283
NPI: 1982631784
6150 DIAMOND CENTRE CT
NPI: 1821027814
6080 Boynton Beach Blvd Ste 240
NPI: 1497788194

DR. ROBERT B SILVER (PH.D)

Clinical Psychologist
4461, Camino Real Way, Fort Myers, Lee County, Florida, 33966, United States
NPI: 1831119551