DR. SUSAN ANN KEILER (M.D.) – Dermatology Physician, NPI 1063602811
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for DR. SUSAN ANN KEILER (M.D.)
111 Wisconsin American Dr
Fond Du Lac, WI 549376725
Phone: (920) 923-0788
Fax: (920) 273-0085
Type: Location
401 Linden Ave
Wilmette, IL 600912844
Phone: (847) 843-3376
Fax: (847) 998-8631
Type: Location
1515, Randolph Court, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542208345
Phone: (920) 683-5278
Fax: (920) 686-9674
Type: Location
2601 Compass Rd Ste 125
Glenview, IL 600268089
Phone: (847) 843-3376
Fax: (847) 998-8631
Type: Location
7001 S Howell Ave Ste 900
Oak Creek, WI 531541408
Phone: (262) 898-4400
Fax: (414) 435-3406
Type: Location
1515 Randolph Ct
Manitowoc, WI 542208345
Phone: (920) 683-5278
Fax: (920) 686-9674
Type: Location
2600 N Mayfair Rd Ste 810
Milwaukee, WI 532261328
Phone: (414) 771-1122
Fax: (414) 771-1352
Type: Location
9020 76th St Ste E
Pleasant Prairie, WI 531581976
Phone: (262) 697-8013
Fax: (262) 697-6157
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
1440 N 25TH ST
SHEBOYGAN, WI 530813108
Phone: (920) 457-9100
Fax: (920) 457-1461
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 495 Open Payments records for all available years, with a total value of $7,828.
Total Amount is formed as General ($7,828) + Research ($0) + Ownership ($0) = $7,828.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,084).
Total Amount
$7,828
General + Research + Ownership
Payments
495
Total payment records
General Amount
$7,828
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,084 |
| Dermavant Sciences, Inc. | $684 |
| Regeneron Healthcare Solutions, Inc. | $658 |
| GENZYME CORPORATION | $637 |
| Janssen Biotech, Inc. | $368 |
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: 2023-11-06
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 |
|---|---|---|---|---|
| I20110308000656 | I | Dermatology | WI | TBD |
| I20231106002537 | I | Dermatology | IL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,637 | 317 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 839 | 589 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 675 | 480 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 310 | 236 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 279 | 240 | $0 |
Insurance plans in this area (ZIP 54937)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WI |
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