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DAVID MICHAEL KELLER DO
NPI 1093377913
Orthopaedic Surgery - Sports Medicine in Summerfield, FL

Active since July 01, 2019PECOS Enrolled
17270 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491(352) 618-2546 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2026, Jul 15, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About David Michael Keller Do NPPES

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

DAVID MICHAEL KELLER DO (NPI 1093377913) is an individual sports medicine provider in Summerfield, Florida, licensed in Florida (OS23687) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in The Villages.

NPPES Registry Identity

NPI1093377913
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDAVID MICHAEL KELLERCredential: DO
Location Address17270 SE 109TH TERRACE RDSummerfield, FL 34491-9015
Mailing Address4500 Newberry RdGainesville, FL 32607-2245 · (352) 618-2546
Phone(352) 618-2546
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateAugust 16, 20263 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1093377913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · OS23687
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License OS23687 (FL)
Also ListedSurgeryTaxonomy 208600000X · License 5151013559 (MI)
17270 SE 109TH TERRACE RD, Summerfield, FL 34491
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Secondary Practice Location 1

Location 12955 Brownwood Blvd Ste 403The Villages, FL 32163-2040 · Phone (352) 618-2546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Keller Do 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 David Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Orthopaedic Institute PA
54 mi
Orthopaedic Surgery
4500 NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 116 clinicians in this Medicare group
NPI 1740373547 (352) 336-6000

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

Other Providers at the Same Location NPPES 14

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

BRITTNEY L MORRIS OT
Occupational Therapist
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 633-7222
DR. KATHRYN ANNE HENDERSON HEIM M.D.
Orthopaedic Surgery (Hand Surgery)
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 633-7222
NOREEN BURCH PA-C
Physician Assistant
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 633-7222
DR. KENNETH P BARNES M.D.
Internal Medicine (Sports Medicine)
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 336-6000
LLOYD Y KIM M.D.
Emergency Medicine
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 633-7222
THE ORTHOPAEDIC INSTITUTE, PA
Orthopaedic Surgery
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 336-6000
ASHTON NICOLAS MARTIN
Physical Therapist
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 336-6000
KRISTEN MARIE TEEL PA-C
Physician Assistant
17270 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Marion County (352) 633-7222

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 David Keller's NPI number?

The NPI number for David Keller is 1093377913. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is David Keller located?

David Keller practices at 17270 SE 109th Terrace Rd, Summerfield, FL 34491. The listed phone number is (352) 618-2546.

What is David Keller's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is David Keller enrolled in Medicare?

Yes. David Keller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Keller reassigns Medicare benefits to The Orthopaedic Institute PA (Gainesville, FL). 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 David Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Keller accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list David Keller 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 David Keller was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.