DR. SCOTT JAMES KECKLER (M.D.) – Pediatric Surgery Physician, NPI 1154597011
Pediatric Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SCOTT JAMES KECKLER (M.D.)
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
1965 S Fremont Ave Ste 100
Springfield, MO 658042299
Phone: (417) 820-3800
Type: Location
1600, West 22nd Street, Sioux Falls, Minnehaha County, South Dakota, 57105, United States
SIOUX FALLS, SD 571051521
Phone: (605) 312-1000
Fax: (605) 312-1001
Type: Location
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $26 |
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: 2019-11-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191126002140 | I | Pediatric Medicine | SD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| P S Y C H I A T R Y | SD | |
| General Surgery | SD | |
| General Surgery | SD | |
| P S Y C H I A T R Y | NE | |
| P S Y C H I A T R Y | SD | |
| - | SD | |
| Qualified Audiologist | SD | |
| Hand Surgery, Orthopedic Surgery | SD | |
| Nurse Practitioner | SD |
Reviews
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