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KEITH W CUSHING MD
NPI 1043437395
Psychiatry & Neurology - Neurology in Franklin, IN

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
1159 W JEFFERSON ST STE 206, FRANKLIN, IN 46131(317) 738-4430(317) 738-4405 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2021, Oct 22, 2019 (2 updates tracked since 2019).

About Keith W Cushing Md NPPES

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

KEITH W CUSHING MD (NPI 1043437395) is an individual neurology provider in Franklin, Indiana, licensed in Indiana (01065032A) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1043437395
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameKEITH W CUSHINGCredential: MD
Location Address1159 W JEFFERSON ST STE 206Franklin, IN 46131-2795
Mailing Address6983 Hillsdale CtIndianapolis, IN 46250-2054 · (317) 849-8350 · Fax (317) 576-6311
Phone(317) 738-4430
Fax(317) 738-4405
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1043437395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01065032A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 01065032A (IN)
1159 W JEFFERSON ST STE 206, Franklin, IN 46131
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Other Identifiers 1

Medicaid200904510IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith W Cushing Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527135516
PECOS Enrollment IDI20080917000025
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.

Areas of Expertise CMS Part B claims 10

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.
410 services269 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
227 services194 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.
112 services112 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services61 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
63 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46131 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
1%162 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%2,833 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
20%476 patients1/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
62%505 patients3/55-star benchmark: 90%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
43%72 patients2/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
26%548 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers55 claims55 services$28.76 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers46 claims46 services$70.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers44 claims111 services$26.09 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers45 claims215 services$14.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers32 claims180 services$13.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers90 claims90 services$46.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC
Psychiatry & Neurology (Neurology)
1159 W JEFFERSON ST STE 206
FRANKLIN, IN 46131
Johnson County (317) 308-2800

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 Keith Cushing's NPI number?

The NPI number for Keith Cushing is 1043437395. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Keith Cushing located?

Keith Cushing practices at 1159 W Jefferson St Ste 206, Franklin, IN 46131. The listed phone number is (317) 738-4430.

What is Keith Cushing's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Keith Cushing enrolled in Medicare?

Yes. Keith Cushing is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Cushing accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Keith Cushing 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.

Is Keith Cushing affiliated with any hospitals?

According to CMS data, Keith Cushing is affiliated with Johnson Memorial Hospital, Community Hospital East, Columbus Regional Hospital, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Keith Cushing was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.