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KEITH STANFIELD RAYBURN MD
NPI 1104845676
Family Medicine in Aptos, CA

Active since July 18, 2006PECOS Enrolled
9515 SOQUEL DR STE 100, APTOS, CA 95003(831) 661-6020(831) 688-1359 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith Stanfield Rayburn Md NPPES

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

KEITH STANFIELD RAYBURN MD (NPI 1104845676) is an individual family medicine provider in Aptos, California, licensed in California (C50145) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104845676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH STANFIELD RAYBURNCredential: MD
Location Address9515 SOQUEL DR STE 100Aptos, CA 95003-4136
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Phone(831) 661-6020
Fax(831) 688-1359
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 8, 2017
✔ NPI 1104845676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C50145
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9515 SOQUEL DR STE 100, Aptos, CA 95003
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Other Identifiers 3

Medicare ID-Type Unspecified00C501450CA
Medicare UPINE72891CA
Medicaid00C501450CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Stanfield Rayburn 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 Keith Rayburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
18 mi
Clinic/Center
18550 DE PAUL DR
Morgan Hill, CA 95037
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1114676251 (408) 885-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95003 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$9.39 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims403 services$5.67 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims3,875 services$0.36 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.

APTOS CHIROPRACTIC CENTER
Chiropractor
9515 SOQUEL DR STE 100
APTOS, CA 95003
Santa Cruz County (831) 688-7077

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 Rayburn's NPI number?

The NPI number for Keith Rayburn is 1104845676. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Keith Rayburn located?

Keith Rayburn practices at 9515 Soquel Dr Ste 100, Aptos, CA 95003. The listed phone number is (831) 661-6020.

What is Keith Rayburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Rayburn enrolled in Medicare?

Yes. Keith Rayburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Rayburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Rayburn reassigns Medicare benefits to County Of Santa Clara (Morgan Hill, CA). 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 Keith Rayburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Rayburn was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.