CHARLES R KEENER (MD) – Family Medicine Physician, NPI 1174606826

CHARLES R KEENER (MD) is a healthcare provider. based in Great bend, Kansas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-31531 (KS). The NPI Number for CHARLES R KEENER (MD) is 1174606826

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES R KEENER (MD)
NPI
1174606826
Phone
(620) 792-2511
Address
3515 BROADWAY AVE
Enumeration Date
23 October 2006
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6207866515
Graduation Year
2004 (22 years ago)
PAC ID
2365456373
Group Practice PAC ID
5597016378
Professional Enrollment ID
I20060130000357
Address ID
KS675303633GR3515XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

453 EMERGENCY MEDICINE in KS

Provider Addresses for CHARLES R KEENER (MD)

  • 3515 BROADWAY AVE

    GREAT BEND, KS 675303633

    Phone: (620) 792-2511

    Fax: (620) 860-0619

    Type: Location

  • 1309, Polk Street, Great Bend, Barton County, Kansas, 67530, United States

    GREAT BEND, KS 67530

    Phone: (620) 792-5341

    Fax: (620) 792-3702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($74).

Total Amount

$494

General + Research + Ownership

Payments

31

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-30

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
I20060130000357IFamily PracticeKSTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4016$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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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: 5597016378View full group profile
NameSpecialtyState
Physician AssistantKS
-TN
Nurse PractitionerKS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
-MS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
Physician AssistantCO
Nurse PractitionerKS

Reviews

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Frequently asked questions

Where can patients find CHARLES R KEENER (MD)'s NPI?
You can confirm CHARLES R KEENER (MD) with NPI 1174606826; it appears in the national provider directory.
Is CHARLES R KEENER (MD) active in the national directory?
CHARLES R KEENER (MD)'s public NPI profile is in an active state.
What field does CHARLES R KEENER (MD) work in?
You can think of CHARLES R KEENER (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CHARLES R KEENER (MD)?
The snapshot lists Great Bend, Kansas for CHARLES R KEENER (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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