ALTHEA KEENER MD
NPI 1205872330
Family Medicine in Lancaster, PA

Q: What is Althea Keener's NPI number?

The NPI number for Althea Keener is 1205872330. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Althea Nelson.

Q: What is Althea Keener's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Althea Keener was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 20, 2006PECOS Enrolled

304 N WATER ST, LANCASTER, PA 17603(717) 299-6372(717) 945-1584 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2018, Apr 21, 2017 (2 updates tracked since 2017).

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About Althea Keener Md NPPES

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

ALTHEA KEENER MD (NPI 1205872330) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD051160L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205872330

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALTHEA KEENERCredential: MD

Location Address304 N WATER STLancaster, PA 17603-3374

Mailing Address304 N Water StLancaster, PA 17603-3374 · (717) 299-6371 · Fax (717) 945-1587

Phone(717) 299-6372

Fax(717) 945-1584

Sole ProprietorNo

Enumeration DateJune 20, 2006

Last NPPES UpdateMarch 27, 20182 updates tracked since enumeration

✔ NPI 1205872330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD051160L

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.

304 N WATER ST, Lancaster, PA 17603

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Other Names 1

Former Name (1)Althea Nelson

Other Identifiers 14

Other1100849PA · Keystone Mercy

Other31195PA · Health Partners

Other0845709000PA · Independence Blue Cross

Other000000127166PA · Unison Healthplan

Other50069824PA · Capital Blue Cross

Other000816293PA · Highmark Blue Shield

Other7091635PA · Aetna-non Hmo

OtherP002759PA · Gateway Healthplan

Other000000149538PA · Unison Healthplan

Medicaid001561231 0001PA

Other1100849PA · Amerihealth Mercy

Other50055971PA · Capital Blue Cross

Other50055971PA · Keystone Health Plan Central

Other54819PA · Healthamerica

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Althea Keener 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 Althea Keener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union Community Care

Same address

Federally Qualified Health Center (FQHC)

304 N WATER ST
Lancaster, PA 17603

Reassigned Medicare billing, Pennsylvania enrollment
94 clinicians in this Medicare group

NPI 1134458789 (717) 299-6371

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 17603 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

69%256 patients4/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

68%418 patients4/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

32%211 patients2/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

49%935 patients3/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$180.24 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 20

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

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