KYLE R KEENE D.O.
NPI 1164783049
Family Medicine in Santa Cruz, CA

Active since June 06, 2012PECOS Enrolled
1301 MISSION ST, SANTA CRUZ, CA 95060(831) 458-6300 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2019, Mar 17, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Kyle R Keene D.o. NPPES

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

KYLE R KEENE D.O. (NPI 1164783049) is an individual family medicine provider in Santa Cruz, California, licensed in California (20A12461) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1164783049
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKYLE R KEENECredential: D.O.
Location Address1301 MISSION STSanta Cruz, CA 95060-3530
Mailing Address1507 Laurel StSanta Cruz, CA 95060-3522 · (831) 421-2667
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 6, 2012
Last NPPES UpdateAugust 12, 20193 updates tracked since enumeration
NPI 1164783049 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 · 20A12461
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.
1301 MISSION ST, Santa Cruz, CA 95060

Secondary Practice Locations 2

Location 1200 W Arbor Dr, MC: 8809San Diego, CA 92103 · Phone (619) 543-2165
Location 21301 Mission StSanta Cruz, CA 95060-3530 · Phone (831) 458-6300

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle R Keene D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294058723
PECOS Enrollment IDI20150108000257
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.

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.
958 services116 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
614 services85 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
133 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 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.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
1301 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
1301 MISSION ST
SANTA CRUZ, CA 95060
Physician Assistant
1301 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
1301 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
1301 MISSION ST
SANTA CRUZ, CA 95060
Internal Medicine
1301 MISSION ST
SANTA CRUZ, CA 95060
Physician Assistant
1301 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
1301 MISSION ST
SANTA CRUZ, CA 95060

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 Kyle Keene's NPI number?

The NPI number for Kyle Keene is 1164783049. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Kyle Keene located?

Kyle Keene practices at 1301 Mission St, Santa Cruz, CA 95060. The listed phone number is (831) 458-6300.

What is Kyle Keene's specialty?

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

Is Kyle Keene enrolled in Medicare?

Yes. Kyle Keene is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Keene was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.