DR. KEITH DOUGLAS HORNER MD
NPI 1235103334
Family Medicine in Waco, TX

Q: What is Keith Horner's NPI number?

The NPI number for Keith Horner is 1235103334. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Keith Horner'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 Keith Horner was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 15, 2006PECOS EnrolledAccepts Medicare Assignment

74.33/100

CMS Quality Rating

342 RICHLAND WEST CIR, WACO, TX 76712(254) 537-0200(254) 537-0201 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Keith Douglas Horner Md NPPES

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

DR. KEITH DOUGLAS HORNER MD (NPI 1235103334) is an individual family medicine provider in Waco, Texas, licensed in Texas (H4421) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Southern Illinois University School Of Medicine (1987).

NPPES Registry Identity

NPI1235103334

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEITH DOUGLAS HORNERCredential: MD

Location Address342 RICHLAND WEST CIRWaco, TX 76712-7919

Mailing AddressPo Box 22010Waco, TX 76702-2010 · (254) 761-8811 · Fax (254) 761-8815

Phone(254) 537-0200

Fax(254) 537-0201

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1987

Enumeration DateFebruary 15, 2006

Last NPPES UpdateJanuary 20, 2011

✔ NPI 1235103334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H4421

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.

342 RICHLAND WEST CIR, Waco, TX 76712

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Other Identifiers 9

Other00N59XBcbs Texas

Medicare UPIND87450

Medicare PIN88X541

Medicare ID-Type Unspecified88X541TX

Medicare PINTXB113331

Medicare PIN00N59X

Other88X541TX · Bcbs

Medicaid128110705TX

Medicare PIN080074801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Keith Douglas Horner Md 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 ID648328039

PECOS Enrollment IDI20100208000260

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 15

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.

802 services363 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

277 services277 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

116 services114 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

113 services111 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

43 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

42 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services37 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

36 services36 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

36 services36 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

32 services32 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

27 services21 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

21 services21 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

16 services16 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450101

Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

74.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.69

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

1%129 patients

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

82%45 patients1/55-star benchmark: 100%

Advance Care Plan

86%617 patients4/55-star benchmark: 100%

Appropriate Treatment for Upper Respiratory Infection (URI)

91%22 patients4/55-star benchmark: 100%

Breast Cancer Screening

87%456 patients4/55-star benchmark: 93%

Cervical Cancer Screening

56%460 patients3/55-star benchmark: 98%

Chlamydia Screening for Women

25%64 patients

Closing the Referral Loop: Receipt of Specialist Report

58%940 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

87%982 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

66%646 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Antiplatelet Therapy

80%84 patients4/55-star benchmark: 100%

Dementia: Cognitive Assessment

52%21 patients

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

43%205 patients2/55-star benchmark: 100%

Diabetes: Eye Exam

39%186 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

3%186 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,707 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

78%617 patients4/55-star benchmark: 100%

HIV Screening

24%1,199 patients2/55-star benchmark: 60%

Non-Recommended Cervical Cancer Screening in Adolescent Females

Lower rates are better for this measure.

4%24 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

69%1,677 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

78%1,135 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

28%1,688 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 82% · 1,670 patients

Patients screened: 84% · 1,670 patients

63%112 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 59% · 1,550 patients

Patients screened: 65% · 1,550 patients

16%146 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

92%245 patients4/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%486 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 619 patients

Patients totalRate: 18% · 661 patients

19%661 patients3/55-star benchmark: 100%

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 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 supplier12 claims12 services$6.63 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers11 claims11 services$48.58 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier21 claims21 services$25.18 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.

MR. MARCIAL GOMEZ LEWIN MD

Neurological Surgery

342 RICHLAND WEST CIR
WACO, TX 76712

McLennan County (254) 772-6760

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 Horner's NPI number?

The NPI number for Keith Horner is 1235103334. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Keith Horner located?

Keith Horner practices at 342 Richland West Cir, Waco, TX 76712. The listed phone number is (254) 537-0200.

What is Keith Horner's specialty?

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

Is Keith Horner enrolled in Medicare?

Yes. Keith Horner 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 Keith Horner accept?

Health plans from Blue Cross and Blue Shield of Texas list Keith Horner 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 Keith Horner affiliated with any hospitals?

According to CMS data, Keith Horner is affiliated with Ascension Providence, Baylor Scott & White Medical Center - Temple and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Keith Horner was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.