KEATING W PEPPER (DO) – Anesthesiology Physician, NPI 1548896186

KEATING W PEPPER (DO) is a healthcare provider. based in South portland, Maine. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. DO4130 (ME). The NPI Number for KEATING W PEPPER (DO) is 1548896186

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KEATING W PEPPER (DO)
NPI
1548896186
Phone
(207) 482-7800
Address
324 GANNETT DR STE 200
Enumeration Date
16 March 2020
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2076622526
Graduation Year
2021 (5 years ago)
PAC ID
6406250216
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20250730004443
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

285 ANESTHESIOLOGY in ME

Provider Addresses for KEATING W PEPPER (DO)

  • 324 GANNETT DR STE 200

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    Type: Mailing

  • 175 FORE RIVER PKWY

    PORTLAND, ME 041022779

    Phone: (207) 879-3000

    Type: Location

  • 11 HILLS BEACH RD

    BIDDEFORD, ME 040059526

    Phone: (207) 266-7516

    Type: Mailing

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: 2025-07-30

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
I20250730004443IAnesthesiologyMETBD

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 04106)

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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: 7618871245View full group profile

Reviews

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Frequently asked questions

Is KEATING W PEPPER (DO) listed with a National Provider Identifier?
Yes — KEATING W PEPPER (DO) has NPI 1548896186 on file in the registry.
Is KEATING W PEPPER (DO) shown as active in public data?
Registry records indicate KEATING W PEPPER (DO) maintains an active NPI.
What clinical focus is listed for KEATING W PEPPER (DO)?
At a glance, KEATING W PEPPER (DO) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is KEATING W PEPPER (DO) associated with South Portland?
Public fields place KEATING W PEPPER (DO) around South Portland, Maine. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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