KEENAN R BERGHOFF (MD) – Surgery Physician, NPI 1720027212

KEENAN R BERGHOFF (MD) is a healthcare provider. based in North kansas city, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 01063361A (IN). The NPI Number for KEENAN R BERGHOFF (MD) is 1720027212

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KEENAN R BERGHOFF (MD)
NPI
1720027212
Phone
(816) 691-5048
Address
2790 Clay Edwards Dr Ste 600
Enumeration Date
6 June 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
4587610225
Group Practice PAC ID
6305748153
Professional Enrollment ID
I20050325000510
Address ID
MO641163220NO2800XDRXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

785 GENERAL SURGERY in MO

Provider Addresses for KEENAN R BERGHOFF (MD)

  • 2790 Clay Edwards Dr Ste 600

    North Kansas City, MO 641163274

    Phone: (816) 691-5048

    Fax: (816) 346-7039

    Type: Location

  • 2790 CLAY EDWARDS DR STE 625

    NORTH KANSAS CITY, MO 641163278

    Phone: (816) 455-3990

    Fax: (816) 455-5351

    Type: Mailing

  • 5400, North Oak Trafficway, Kansas City, Clay County, Missouri, 64118, United States

    SUITE 101

    KANSAS CITY, MO 641184688

    Phone: (816) 455-3990

    Fax: (816) 777-0960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($141).

Total Amount

$384

General + Research + Ownership

Payments

8

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2005-03-25

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
I20050325000510IGeneral SurgeryMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4423$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3433$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1712$0
43644Bypass of stomach using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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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: 6305748153View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMO
-MO
-MO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerDE
General SurgeryMO
N E U R O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

Can I use this page to confirm KEENAN R BERGHOFF (MD)'s NPI?
Yes. KEENAN R BERGHOFF (MD) is listed with NPI 1720027212 in the public NPI dataset.
Does the file indicate KEENAN R BERGHOFF (MD) is practicing under active NPI?
Directory data currently reports KEENAN R BERGHOFF (MD) as active.
What is KEENAN R BERGHOFF (MD)'s primary classification?
Surgery Physician is the headline specialty for KEENAN R BERGHOFF (MD) here. Clinical services aligned with this taxonomy classification.
What area does KEENAN R BERGHOFF (MD) serve?
KEENAN R BERGHOFF (MD)'s listing highlights North Kansas City, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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