DR. KEEGAN LAWRENCE MAXWELL (MD) – Urology Physician, NPI 1790712883

DR. KEEGAN LAWRENCE MAXWELL (MD) is a healthcare provider. based in Sartell, Minnesota. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 12655 (SD). The NPI Number for DR. KEEGAN LAWRENCE MAXWELL (MD) is 1790712883

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEEGAN LAWRENCE MAXWELL (MD)
NPI
1790712883
Phone
(320) 259-1411
Address
2351 CONNECTICUT AVE S
Enumeration Date
26 June 2006
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
6058827000
Graduation Year
2001 (25 years ago)
PAC ID
2264535137
Group Practice PAC ID
8628987823
Professional Enrollment ID
I20210730001232
Address ID
SD572011548WA401XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

284 UROLOGY in MN

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Provider Addresses for DR. KEEGAN LAWRENCE MAXWELL (MD)

  • 2351, Connecticut Avenue South, Sartell, Stearns County, Minnesota, 56377, United States

    SUITE 200

    SARTELL, MN 563772477

    Phone: (320) 259-1411

    Fax: (320) 259-8967

    Type: Mailing

  • 401 9TH AVE NW

    WATERTOWN, SD 572011548

    Phone: (605) 882-7777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($90).

Total Amount

$127

General + Research + Ownership

Payments

3

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2021-07-30

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
I20210730001232IUrologySDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes251185$0
52000Diagnostic exam of bladder and urethra using an endoscope7760$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
99214Established patient office or other outpatient visit, 30-39 minutes3428$0
52332Insertion of stent in ureter using an endoscope1812$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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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: 8628987823View full group profile
NameSpecialtyState
Nurse PractitionerSD
Cardiovascular Disease (Cardiology), Interventional CardiologyOH
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Emergency Medicine, Family PracticeSD
-SD
Orthopedic SurgerySD
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerSD

Reviews

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Frequently asked questions

How is DR. KEEGAN LAWRENCE MAXWELL (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KEEGAN LAWRENCE MAXWELL (MD) with NPI 1790712883.
Does the file indicate DR. KEEGAN LAWRENCE MAXWELL (MD) is practicing under active NPI?
Directory data currently reports DR. KEEGAN LAWRENCE MAXWELL (MD) as active.
What is DR. KEEGAN LAWRENCE MAXWELL (MD)'s primary classification?
Urology Physician is the headline specialty for DR. KEEGAN LAWRENCE MAXWELL (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEEGAN LAWRENCE MAXWELL (MD)?
DR. KEEGAN LAWRENCE MAXWELL (MD)'s geographic hint is Sartell, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.