JERROD KEITH (MD) – Surgery Physician, NPI 1528105889
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
56 PLASTIC AND RECONSTRUCTIVE SURGERY in IA
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Provider Addresses for JERROD KEITH (MD)
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
IOWA CITY, IA 522421009
Phone: (319) 356-7941
Fax: (319) 353-6511
Type: Mailing
709 W Main St
Manchester, IA 520571526
Phone: (563) 927-3232
Fax: (563) 927-7337
Type: Location
500 E Market St
Iowa City, IA 522452633
Phone: (319) 339-3551
Fax: (319) 248-7945
Type: Location
1075 1st Ave SE
Cedar Rapids, IA 524025003
Phone: (319) 558-4800
Fax: (319) 558-4806
Type: Location
920 E 2nd Ave Ste 201B
Coralville, IA 522412225
Phone: (319) 467-2000
Fax: (319) 356-3949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $664.
Total Amount is formed as General ($664) + Research ($0) + Ownership ($0) = $664.
Last reported payment date: 2023-10-28 • Largest payer in this snapshot: Mentor Worldwide LLC ($327).
Total Amount
$664
General + Research + Ownership
Payments
5
Total payment records
General Amount
$664
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $327 |
| Avita Medical Americas, LLC | $169 |
| Integra LifeSciences Corporation | $169 |
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: 2012-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120910000093 | I | Plastic And Reconstructive Surgery | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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