DR. KEITH PETER LANDRY (M.D.) – Family Medicine Physician, NPI 1073502670
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
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Provider Addresses for DR. KEITH PETER LANDRY (M.D.)
Family Medicine of Cloverdale, 51, East Market Street, Cloverdale, Putnam County, Indiana, 46120, United States
CLOVERDALE, IN 46120
Phone: (765) 795-4242
Fax: (765) 795-4456
Type: Location
1542 S Bloomington St
Greencastle, IN 461352212
Phone: (765) 301-7449
Type: Location
PO BOX 508
CLOVERDALE, IN 461200508
Phone: (765) 795-4242
Fax: (765) 795-4456
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $3,183.
Total Amount is formed as General ($3,183) + Research ($0) + Ownership ($0) = $3,183.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($487).
Total Amount
$3,183
General + Research + Ownership
Payments
178
Total payment records
General Amount
$3,183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $487 |
| ABBVIE INC. | $469 |
| AstraZeneca Pharmaceuticals LP | $311 |
| Novartis Pharmaceuticals Corporation | $288 |
| Lilly USA, LLC | $237 |
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: 2004-10-05
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 |
|---|---|---|---|---|
| I20041005000208 | I | Family Practice | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Clinical Psychologist | WI | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IL |
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