DR. BRENT WAYNE KEENPORTZ (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1912026790
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PATHOLOGY in NE
Provider Addresses for DR. BRENT WAYNE KEENPORTZ (M.D.)
16405 WEIR ST
OMAHA, NE 681351218
Phone: (402) 699-1991
Type: Mailing
2620 W FAIDLEY AVE
GRAND ISLAND, NE 688034205
Phone: (308) 398-5424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2007-06-21
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 |
|---|---|---|---|---|
| I20070621000647 | I | Pathology | NE | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,381 | 1,337 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 325 | 88 | $0 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 168 | 135 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 159 | 140 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 149 | 143 | $0 |
Insurance plans in this area (ZIP 68135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | NE | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 91 | 88 |
| PATHOLOGY | NE | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 59 | 48 |
| PATHOLOGY | NE | 88342 | Tissue or cell analysis by immunologic technique | 74 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| D E R M A T O L O G Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| D E R M A T O L O G Y | NE |
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