NICHOLAS KEATON
NPI 1245617216
Hospitalist in Huntsville, AL

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 801-6047 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2025, Aug 10, 2023, Jun 18, 2020 and 2 more (5 updates tracked since 2017).

About Nicholas Keaton NPPES

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

NICHOLAS KEATON (NPI 1245617216) is an individual hospitalist provider in Huntsville, Alabama, licensed in Mississippi (27440) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2015).

NPPES Registry Identity

NPI1245617216
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNICHOLAS KEATON
Location Address101 SIVLEY RD SWHuntsville, AL 35801-4421
Mailing Address101 Sivley Rd SwHuntsville, AL 35801-4421
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateJune 25, 20255 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1245617216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MS · 27440
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 27440 (MS)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101261759 (VA)
101 SIVLEY RD SW, Huntsville, AL 35801

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Keaton 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 ID6204107816
PECOS Enrollment IDI20251017003544
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 Reassignments

3

Medicare enrollment records show Nicholas Keaton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
101 SIVLEY RD SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 165 clinicians in this Medicare group
General Acute Care Hospital
90 INDUSTRIAL PARK CIR
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
Internal Medicine
4500 13TH ST
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 34 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
328 services142 patients
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.
287 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services133 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services77 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.
17 services13 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers14 claims14 services$50.18 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers11 claims11 services$12.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims84 services$1.89 avg. paid by Medicare
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
5 suppliers44 claims44 services$199.03 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.

Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Hospitalist
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Nurse Anesthetist, Certified Registered
101 SIVLEY RD SW
HUNTSVILLE, AL 35801

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 Nicholas Keaton's NPI number?

The NPI number for Nicholas Keaton is 1245617216. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Nicholas Keaton located?

Nicholas Keaton practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 801-6047.

What is Nicholas Keaton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nicholas Keaton enrolled in Medicare?

Yes. Nicholas Keaton 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.

Which organizations bill Medicare for Nicholas Keaton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Keaton reassigns Medicare benefits to 3 organizations: Hh Physician Care (Huntsville, AL), Memorial Hospital At Gulfport (Ocean Springs, MS) and Care Doc LLC (Gulfport, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Keaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Keaton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Nicholas Keaton 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.

When was this NPI record last updated?

The NPPES record for Nicholas Keaton was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.