DR. DOUGLAS KEEHN (DO) – Pain Medicine (Anesthesiology) Physician, NPI 1942277751
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PAIN MANAGEMENT in WI
Provider Addresses for DR. DOUGLAS KEEHN (DO)
1604 MADISON AVE
FORT ATKINSON, WI 535383101
Phone: (920) 568-6596
Type: Location
PO BOX 249
FORT ATKINSON, WI 535380249
Phone: (920) 563-4466
Type: Mailing
Aurora Health Center, 4131, West Loomis Road, Southgate Manor, Greenfield, Milwaukee County, Wisconsin, 53221, United States
STE 300
GREENFIELD, WI 532212059
Phone: (414) 325-7246
Fax: (414) 325-3770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $512.
Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($400).
Total Amount
$512
General + Research + Ownership
Payments
9
Total payment records
General Amount
$512
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 |
|---|---|
| Boston Scientific Corporation | $400 |
| Nevro Corp. | $77 |
| Abbott Laboratories | $35 |
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: 2005-04-21
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 |
|---|---|---|---|---|
| I20050421001023 | I | Pain Management | WI | 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 |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 101 | 72 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 56 | 37 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 48 | 44 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 46 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 53538)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Anesthesiology, Pain Management | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner, Pain Management | WI |
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