COURTNEY A. KEITH M.D.
NPI 1265632483
Family Medicine in Sioux Falls, SD

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 504-5400(605) 504-5150 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney A. Keith M.d. NPPES

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

COURTNEY A. KEITH M.D. (NPI 1265632483) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (11628) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2007).

NPPES Registry Identity

NPI1265632483
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOURTNEY A. KEITHCredential: M.D.
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 504-5400 · Fax (605) 504-5150
Fax(605) 504-5150
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2007
Enumeration DateJuly 25, 2007
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1265632483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 11628
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.
1200 S 7TH AVE, Sioux Falls, SD 57105

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

Courtney A. Keith M.d. 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 ID345300976
PECOS Enrollment IDI20100817001039
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

2

Medicare enrollment records show Courtney Keith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
1200 S 7TH AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
Adult Day Care
403 W BROAD AVE
Flandreau, SD 57028
  • Reassigned Medicare billing, Texas enrollment
  • 27 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 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.
118 services61 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.
51 services44 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.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
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.

Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Family Medicine
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105

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 Courtney Keith's NPI number?

The NPI number for Courtney Keith is 1265632483. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Courtney Keith located?

Courtney Keith practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 504-5400.

What is Courtney Keith's specialty?

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

Is Courtney Keith enrolled in Medicare?

Yes. Courtney Keith 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 Courtney Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Keith reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Flandreau Santee Sioux Tribe (Flandreau, SD). 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 Courtney Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Keith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Courtney Keith 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 Courtney Keith affiliated with any hospitals?

According to CMS data, Courtney Keith is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Courtney Keith was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.