KEITH E EIDMAN (DO) – Nephrology Physician, NPI 1174579437
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 NEPHROLOGY in MN
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Provider Addresses for KEITH E EIDMAN (DO)
Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States
MINNEAPOLIS, MN 554151623
Phone:
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 4 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Baxter Healthcare ($98).
Total Amount
$220
General + Research + Ownership
Payments
4
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $98 |
| NxStage Medical, Inc. | $93 |
| Travere Therapeutics, Inc. | $29 |
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: 2019-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050324000564 | I | Nephrology | MN | TBD |
| I20190321001762 | I | Nephrology | TX | 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 |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 661 | 17 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 179 | 75 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 158 | 35 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 93 | 13 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 78 | 21 | $0 |
Insurance plans in this area (ZIP 55415)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | MN | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 88 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| O P T O M E T R Y | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| General Surgery | WI | |
| Family Practice | MN | |
| Emergency Medicine, Plastic And Reconstructive Surgery, General Surgery | IA |
Reviews
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