KERRY KEAFFABER (MD) – Family Medicine Physician, NPI 1740226307
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for KERRY KEAFFABER (MD)
Country Lane, Shipshewana, LaGrange County, Indiana, 46565, United States
SHIPSHEWANA, IN 465658568
Phone: (260) 768-4141
Fax: (260) 768-7295
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $519.
Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Mylan Specialty L.P. ($77).
Total Amount
$519
General + Research + Ownership
Payments
28
Total payment records
General Amount
$519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $77 |
| Lilly USA, LLC | $65 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $61 |
| PFIZER INC. | $57 |
| Lundbeck LLC | $47 |
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: 2005-09-14
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 |
|---|---|---|---|---|
| I20050914000755 | 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.
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 | 297 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 293 | 150 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 264 | 155 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 245 | 65 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 123 | 31 | $0 |
Insurance plans in this area (ZIP 46565)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 81002 | Urinalysis, manual test | 29 | 26 |
| FAMILY MEDICINE | IN | 82270 | Stool analysis for blood to screen for colon tumors | 11 | 11 |
| FAMILY MEDICINE | IN | 85610 | Blood test, clotting time | 172 | 24 |
| FAMILY MEDICINE | IN | 90670 | Pneumococcal vaccine for injection into muscle | 61 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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