MARK L KELLER (M.D.) – Otolaryngology Physician, NPI 1790762110

MARK L KELLER (M.D.) is a healthcare provider. based in Hastings, Nebraska. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 21286 (NE). The NPI Number for MARK L KELLER (M.D.) is 1790762110

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MARK L KELLER (M.D.)
NPI
1790762110
Phone
(402) 463-2431
Address
2115 N KANSAS AVE
Enumeration Date
28 December 2005
Last Update Date
16 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024632431
Graduation Year
2001 (25 years ago)
PAC ID
5294629846
Professional Enrollment ID
I20071119000059
Address ID
NE689012615HA2115XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

99 OTOLARYNGOLOGY in NE

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Provider Addresses for MARK L KELLER (M.D.)

  • Hastings Medical Park, 2115, North Kansas Avenue, Hastings, Adams County, Nebraska, 68901, United States

    MIDWEST EAR NOSE & THROAT SPECIALISTS PC

    HASTINGS, NE 689012644

    Phone: (402) 463-2431

    Fax: (402) 463-2486

    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 6 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: GENZYME CORPORATION ($101).

Total Amount

$142

General + Research + Ownership

Payments

6

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2007-11-19

PECOS data refreshed: 2026-06-15

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
I20071119000059IOtolaryngologyNETBD

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
95165Professional service for preparation and provision of 1 or more antigens1,80031$0
95117Professional service for multiple injections of allergen44216$0
99214Established patient office or other outpatient visit, 30-39 minutes372241$0
92504Exam of ear using a microscope171141$0
99204New patient office or other outpatient visit, 45-59 minutes157157$0
View full utilization report →

Insurance plans in this area (ZIP 68901)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK L KELLER (M.D.)?
MARK L KELLER (M.D.) — NPI 1790762110 — is the standard way to identify this listing.
Can I rely on MARK L KELLER (M.D.) being an active provider?
As of the registry snapshot, MARK L KELLER (M.D.) is marked active.
What is MARK L KELLER (M.D.)'s primary classification?
Otolaryngology Physician is the headline specialty for MARK L KELLER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is MARK L KELLER (M.D.) based?
MARK L KELLER (M.D.) is tied to Hastings, Nebraska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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