KEITH A POOLE (DO) – Family Medicine Physician, NPI 1487609558
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
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Provider Addresses for KEITH A POOLE (DO)
51339 NATIONAL RD
SAINT CLAIRSVILLE, OH 439509119
Phone: (740) 635-4572
Fax: (740) 635-4575
Type: Mailing
National Road, Brookside, Belmont County, Ohio, 43934, United States
BRIDGEPORT, OH 43912
Phone: (740) 635-4572
Fax: (740) 635-4575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110331000759 | I | Family Practice | OH | TBD |
| I20120213000121 | I | Family Practice | WV | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 2,400 | 1,099 | $0 |
| 77067 | Screening mammography | 370 | 370 | $0 |
| 77063 | Screening 3d breast mammography | 369 | 369 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 292 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 95 | $0 |
Insurance plans in this area (ZIP 43950)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WV | |
| - | WV | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Physician Assistant | PA | |
| Family Practice | WV | |
| E N D O C R I N O L O G Y | ONTARIO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV |
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