GARY J KEEPES (M.D.) – Family Medicine Physician, NPI 1104829480

GARY J KEEPES (M.D.) is a healthcare provider. based in Evansville, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01044355A (IN). The NPI Number for GARY J KEEPES (M.D.) is 1104829480

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GARY J KEEPES (M.D.)
NPI
1104829480
Phone
(812) 354-1052
Address
PO BOX 1510
Enumeration Date
31 May 2005
Last Update Date
3 January 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8124266645
Graduation Year
1994 (32 years ago)
PAC ID
8527964485
Group Practice PAC ID
3375610116
Professional Enrollment ID
I20031210000983
Address ID
IN477131227EV421XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for GARY J KEEPES (M.D.)

  • PO BOX 1510

    EVANSVILLE, IN 477061510

    Phone: (812) 354-1052

    Fax: (812) 354-8280

    Type: Mailing

  • West Pike Avenue, West Petersburg, Petersburg, Pike County, Indiana, 47567, United States

    PETERSBURG, IN 475678750

    Phone: (812) 354-1052

    Fax: (812) 354-8280

    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: 2003-12-10

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
I20031210000983IFamily PracticeINTBD

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 47706)

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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: 3375610116View full group profile
NameSpecialtyState
Family PracticeIN
Family PracticeMI
Family PracticeIN
-IN
Nurse PractitionerIN
-TN
Nurse PractitionerIN
-KY
Physician AssistantOH
Internal Medicine, Geriatric MedicineIN

Reviews

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Frequently asked questions

What federal number belongs to GARY J KEEPES (M.D.)?
The federal identifier for GARY J KEEPES (M.D.) is NPI 1104829480.
Is GARY J KEEPES (M.D.) currently active in the NPI registry?
CMS-published data lists GARY J KEEPES (M.D.) as an active registrant.
Does GARY J KEEPES (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for GARY J KEEPES (M.D.). Clinical services aligned with this taxonomy classification.
Does GARY J KEEPES (M.D.) practice in Indiana?
You will see Evansville, Indiana on file for GARY J KEEPES (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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