KEITH RYAN WELLS (MD) – Hematology & Oncology Physician, NPI 1083904304

KEITH RYAN WELLS (MD) is a healthcare provider. based in Corvallis, Oregon. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD182400 (OR). The NPI Number for KEITH RYAN WELLS (MD) is 1083904304

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KEITH RYAN WELLS (MD)
NPI
1083904304
Phone
(541) 754-1256
Address
444 NW ELKS DR
Enumeration Date
8 April 2011
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
5417541256
Graduation Year
2011 (15 years ago)
PAC ID
5395971493
Group Practice PAC ID
7214924406
Professional Enrollment ID
I20170822003191
Address ID
OR973303745CO444XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

171 HEMATOLOGY/ONCOLOGY in OR

Provider Addresses for KEITH RYAN WELLS (MD)

  • 444 NW ELKS DR

    CORVALLIS, OR 973303745

    Phone: (541) 754-1256

    Type: Mailing

  • 520 Country Club Pkwy

    Eugene, OR 974016043

    Phone: (541) 683-5001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $4,520.

Total Amount is formed as General ($4,520) + Research ($0) + Ownership ($0) = $4,520.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($1,220).

Total Amount

$4,520

General + Research + Ownership

Payments

12

Total payment records

General Amount

$4,520

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2017-08-22

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
I20170822003191IHematology/OncologyORTBD

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
J0897Injection, denosumab, 1 mg2,76011$0
J0185Injection, aprepitant, 1 mg2,21012$0
J1626Injection, granisetron hydrochloride, 100 mcg57021$0
99213Established patient office or other outpatient visit, 20-29 minutes290120$0
J1100Injection, dexamethasone sodium phosphate, 1 mg25017$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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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: 7214924406View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerWA
Nurse PractitionerOR
Hospice/Palliative Care, Gynecological OncologyOR
Nurse PractitionerTX
Medical OncologyOR
H E M A T O L O G Y/ O N C O L O G YOR
Physician AssistantOR
Physician AssistantOR
Gynecological OncologyOR

Reviews

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Frequently asked questions

How is KEITH RYAN WELLS (MD) identified in CMS data?
CMS-hosted NPPES data lists KEITH RYAN WELLS (MD) with NPI 1083904304.
Can I rely on KEITH RYAN WELLS (MD) being an active provider?
As of the registry snapshot, KEITH RYAN WELLS (MD) is marked active.
What is KEITH RYAN WELLS (MD)'s primary classification?
Hematology & Oncology Physician is the headline specialty for KEITH RYAN WELLS (MD) here. Clinical services aligned with this taxonomy classification.
Does KEITH RYAN WELLS (MD) list a practice location?
Patients near Corvallis, Oregon may find KEITH RYAN WELLS (MD) in results; validate coverage separately.
Is the information about KEITH RYAN WELLS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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