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DAVID V KELLER PA-C
NPI 1124192406
Physician Assistant in Statesville, NC

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
1424 FERN CREEK DR STE D, STATESVILLE, NC 28625(704) 878-2058(704) 872-6576 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2020, Oct 19, 2017 (2 updates tracked since 2017).

About David V Keller Pa-c NPPES

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

DAVID V KELLER PA-C (NPI 1124192406) is an individual physician assistant in Statesville, North Carolina, licensed in North Carolina (0010-00703) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124192406
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID V KELLERCredential: PA-C
Location Address1424 FERN CREEK DR STE DStatesville, NC 28625-9376
Mailing Address1424 Fern Creek Dr Ste DStatesville, NC 28625-9376 · (704) 878-2058 · Fax (704) 872-6576
Phone(704) 878-2058
Fax(704) 872-6576
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1124192406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-00703
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1424 FERN CREEK DR STE D, Statesville, NC 28625
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

David V Keller Pa-c 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 ID6709980436
PECOS Enrollment IDI20070405000010
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 3

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.

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.
39 services23 patients
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.
22 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

MOORESVILLE PPM, LLC
Internal Medicine (Interventional Cardiology)
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Iredell County (704) 878-2058
STATESVILLE HMA MEDICAL GROUP, LLC
Internal Medicine
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Iredell County (704) 838-7080
MS. CLAUDIA LYN BURKHALTER FNP
Nurse Practitioner (Family)
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Iredell County (704) 838-7080

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 1124192406. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is David Keller located?

David Keller practices at 1424 Fern Creek Dr Ste D, Statesville, NC 28625. The listed phone number is (704) 878-2058.

What is David Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Keller enrolled in Medicare?

Yes. David Keller 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 David Keller accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer 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.

Is David Keller affiliated with any hospitals?

According to CMS data, David Keller is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for David Keller was last updated on September 10, 2020. 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.