DR. KEITH MICHAEL PRITCHYK (M.D.) – Specialist, NPI 1063412583

DR. KEITH MICHAEL PRITCHYK (M.D.) is a healthcare provider. based in Scranton, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. MD423407 (PA). The NPI Number for DR. KEITH MICHAEL PRITCHYK (M.D.) is 1063412583

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH MICHAEL PRITCHYK (M.D.)
NPI
1063412583
Phone
(570) 346-7900
Address
940 JEFFERSON AVE
Enumeration Date
27 July 2005
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4845917150
Graduation Year
1999 (27 years ago)
PAC ID
4183606767
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20040607000597
Address ID
PA180457991EA3701XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

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Provider Addresses for DR. KEITH MICHAEL PRITCHYK (M.D.)

  • 940, Jefferson Avenue, The Hill Section, Scranton, Lackawanna County, Pennsylvania, 18510, United States

    SCRANTON, PA 185101007

    Phone: (570) 346-7900

    Fax: (570) 963-5060

    Type: Mailing

  • PO BOX 783311

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • 300 LACKAWANNA AVE STE 200

    SCRANTON, PA 185032001

    Phone: (570) 342-7864

    Fax: (570) 800-7515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: GENZYME CORPORATION ($47).

Total Amount

$171

General + Research + Ownership

Payments

8

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

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: 2004-06-07

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
I20040607000597IOtolaryngologyPATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,82518$0
99213Established patient office or other outpatient visit, 20-29 minutes973525$0
99203New patient office or other outpatient visit, 30-44 minutes291291$0
31575Diagnostic exam of voice box using a flexible endoscope172129$0
99212Established patient office or other outpatient visit, 10-19 minutes167105$0
View full utilization report →

Insurance plans in this area (ZIP 18510)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

Does DR. KEITH MICHAEL PRITCHYK (M.D.) have a public NPI I can cite?
Public records show DR. KEITH MICHAEL PRITCHYK (M.D.) under NPI 1063412583.
Is DR. KEITH MICHAEL PRITCHYK (M.D.)'s NPI status active today?
Active status means DR. KEITH MICHAEL PRITCHYK (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. KEITH MICHAEL PRITCHYK (M.D.)'s listing?
DR. KEITH MICHAEL PRITCHYK (M.D.)'s public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEITH MICHAEL PRITCHYK (M.D.) in Scranton, Pennsylvania?
For routing, start with Scranton, Pennsylvania for DR. KEITH MICHAEL PRITCHYK (M.D.), then verify phone and hours locally.
Can I export DR. KEITH MICHAEL PRITCHYK (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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