MARI ANN KEITHAHN (M.D.) – Ophthalmology Physician, NPI 1902880313
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
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Provider Addresses for MARI ANN KEITHAHN (M.D.)
Amron Court, Columbia, Columbia Township, Boone County, Missouri, 65202, United States
COLUMBIA, MO 652021918
Phone: (573) 874-1616
Fax: (573) 875-0300
Type: Location
105 N KEENE ST STE 102
COLUMBIA, MO 652018131
Phone: (573) 777-8738
Fax: (573) 777-8739
Type: Mailing
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 $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($69).
Total Amount
$69
General + Research + Ownership
Payments
1
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $69 |
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: 2008-11-11
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 |
|---|---|---|---|---|
| I20081111000335 | I | Ophthalmology | MO | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 37,260 | 89 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 3,836 | 353 | $0 |
| 92134 | Imaging of retina | 3,303 | 1,011 | $0 |
| 67028 | Injection of drug into eye | 2,724 | 412 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,451 | 594 | $0 |
Insurance plans in this area (ZIP 65202)
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