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DR. LEO M KEEGAN JR. M.D.
NPI 1114934783
Plastic Surgery in New York, NY

Active since August 03, 2006Opted out of Medicare · through Jan 1, 2027
1125 5TH AVE, NEW YORK, NY 10128(212) 288-9800(212) 860-7446 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leo M Keegan Jr. M.d. NPPES

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

DR. LEO M KEEGAN JR. M.D. (NPI 1114934783) is an individual plastic surgery provider in New York, New York, licensed in New York (172658) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114934783
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. LEO M KEEGAN JR.Credential: M.D.
Location Address1125 5TH AVENew York, NY 10128-0143
Mailing Address1125 5th AveNew York, NY 10128-0143 · (212) 288-9800 · Fax (212) 860-7446
Phone(212) 288-9800
Fax(212) 860-7446
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114934783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 172658
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1125 5TH AVE, New York, NY 10128
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Other Identifiers 3

Other61858NJ · Medical License
Medicare UPINF77060
Other172658NY · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Leo M Keegan Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

LEO M. KEEGAN MD, PLLC
Plastic Surgery
1125 5TH AVE
NEW YORK, NY 10128
New York County (212) 288-9800
TIKVA JACOBS MD PC
Surgery (Vascular Surgery)
1125 5TH AVE
NEW YORK, NY 10128
New York County (212) 288-9800
NADINE JENNIFER KEEGAN M.D.
Neuromusculoskeletal Medicine & OMM
1125 5TH AVE
NEW YORK, NY 10128
New York County (212) 288-9800
FIFTH AVENUE MILLENNIUM AESTHETIC SURGERY PLLC
Clinic/Center (Ambulatory Surgical)
1125 5TH AVE
NEW YORK, NY 10128
New York County (212) 288-9800
MRS. CARLIN BORDEN VICKERY M.D.
Neuromusculoskeletal Medicine, Sports Medicine
1125 5TH AVE
NEW YORK, NY 10128
New York County (212) 288-9800

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 Leo Keegan's NPI number?

The NPI number for Leo Keegan is 1114934783. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Leo Keegan located?

Leo Keegan practices at 1125 5th Ave, New York, NY 10128. The listed phone number is (212) 288-9800.

What is Leo Keegan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Leo Keegan enrolled in Medicare?

No. Leo Keegan has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leo Keegan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.