PHILLIP M KEELEY (MD) – Family Medicine Physician, NPI 1417190703

PHILLIP M KEELEY (MD) is a healthcare provider. based in Bowling green, Kentucky. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 46624 (KY). The NPI Number for PHILLIP M KEELEY (MD) is 1417190703

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP M KEELEY (MD)
NPI
1417190703
Phone
(270) 495-1755
Address
130 TRIPLE CROWN CT
Enumeration Date
15 April 2009
Last Update Date
15 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6063878000
Graduation Year
2009 (17 years ago)
PAC ID
8820257751
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20131106001917
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for PHILLIP M KEELEY (MD)

  • 130 TRIPLE CROWN CT

    BOWLING GREEN, KY 421048567

    Phone: (270) 495-1755

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-05-15 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-11-06

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
I20131106001917IFamily PracticeKYTBD

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
99285Emergency department visit with high level of medical decision making6665$0
99284Emergency department visit with moderate level of medical decision making4948$0
99283Emergency department visit with low level of medical decision making2424$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1817$0
View full utilization report →

Insurance plans in this area (ZIP 42104)

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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: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Emergency Medicine, Internal MedicineMS
-MO
Family Practice, Hospitalist, Family PracticeFL
Internal MedicineTN
Internal MedicineSC
Internal MedicineNC
-TN

Reviews

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Frequently asked questions

What identifier follows PHILLIP M KEELEY (MD) across health systems?
The NPI 1417190703 uniquely identifies PHILLIP M KEELEY (MD) in U.S. healthcare data.
Does the public listing show PHILLIP M KEELEY (MD) as active?
PHILLIP M KEELEY (MD)'s NPI record reflects an active status in NPPES.
What type of care does PHILLIP M KEELEY (MD) provide?
PHILLIP M KEELEY (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit PHILLIP M KEELEY (MD) in Bowling Green, Kentucky?
For routing, start with Bowling Green, Kentucky for PHILLIP M KEELEY (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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