RICHARD MARK KEEDY F.N.P.
NPI 1265460695
Nurse Practitioner in San Diego, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 260-7000(619) 260-7050 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Mark Keedy F.n.p. NPPES

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

RICHARD MARK KEEDY F.N.P. (NPI 1265460695) is an individual nurse practitioner in San Diego, California, licensed in California (NP12804) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265460695
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRICHARD MARK KEEDYCredential: F.N.P.
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing AddressPo Box 662110Arcadia, CA 91066-2110 · (626) 447-0296 · Fax (626) 447-6057
Fax(619) 260-7050
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 27, 2008
NPI 1265460695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP12804
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4077 FIFTH AVE, San Diego, CA 92103

Other Identifiers 3

Medicare UPINQ67231CA
MedicaidRN534557CA
Medicare PINWNP12804ACA

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

Richard Mark Keedy F.n.p. 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 ID941219562
PECOS Enrollment IDI20060410000622
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.9
Improvement Activities40

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.

Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103

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 Richard Keedy's NPI number?

The NPI number for Richard Keedy is 1265460695. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Richard Keedy located?

Richard Keedy practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 260-7000.

What is Richard Keedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Richard Keedy enrolled in Medicare?

Yes. Richard Keedy 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.

When was this NPI record last updated?

The NPPES record for Richard Keedy was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.