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JAMES MICHAEL KEEGAN MD
NPI 1023118619
Internal Medicine - Infectious Disease in Rapid City, SD

Active since September 23, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
4940 5TH ST, SUITE 1B, RAPID CITY, SD 57701(605) 342-8329 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Michael Keegan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES MICHAEL KEEGAN MD (NPI 1023118619) is an individual infectious disease provider in Rapid City, South Dakota, licensed in South Dakota (3381) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023118619
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES MICHAEL KEEGANCredential: MD
Location Address4940 5TH ST, SUITE 1BRapid City, SD 57701-6025
Mailing Address4940 5th St, Suite 1bRapid City, SD 57701-6025 · (605) 342-8329
Phone(605) 342-8329
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJuly 30, 2013
✔ NPI 1023118619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in SD · 3381
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
4940 5TH ST, Rapid City, SD 57701
Open in Google Maps ↗

Other Identifiers 6

Other4994439SD · Wellmark
Medicaid6002254SD
Medicare UPIND71728
Medicare PINS100546SD
OtherP00261629SD · Rr Medicare
Other9172878SD · Dakotacare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Michael Keegan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Keegan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monument Health Rapid City Hospital Inc
0.7 mi
Clinic/Center
4150 5TH ST
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1437860954 (605) 755-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services38 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
38 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
29 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES M. KEEGAN MD PROFESSIONAL LLC
Internal Medicine (Infectious Disease)
4940 5TH ST, SUITE 1B
RAPID CITY, SD 57701
Meade County (605) 342-8329
REBECCA KAY LANPHEAR APRN
Nurse Practitioner
4940 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Keegan's NPI number?

The NPI number for James Keegan is 1023118619. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is James Keegan located?

James Keegan practices at 4940 5th St Suite 1B, Rapid City, SD 57701. The listed phone number is (605) 342-8329.

What is James Keegan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Keegan enrolled in Medicare?

Yes. James Keegan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Keegan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Keegan reassigns Medicare benefits to Monument Health Rapid City Hospital Inc (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Keegan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Keegan accept?

Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list James Keegan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Keegan was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.