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KEITH THOMAS SIVERTSON M.D.
NPI 1275560260
Emergency Medicine in Ketchum, ID

Active since June 27, 2006PECOS Enrolled
100 HOSPITAL DRIVE, KETCHUM, ID 83340(208) 727-8445(298) 727-8446 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Thomas Sivertson M.d. NPPES

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

KEITH THOMAS SIVERTSON M.D. (NPI 1275560260) is an individual emergency medicine provider in Ketchum, Idaho, licensed in Idaho (M5846) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275560260
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEITH THOMAS SIVERTSONCredential: M.D.
Location Address100 HOSPITAL DRIVEKetchum, ID 83340
Mailing AddressPo Box 7010Ketchum, ID 83340-7010 · (208) 725-5615 · Fax (208) 727-8446
Phone(208) 727-8445
Fax(298) 727-8446
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275560260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M5846
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 HOSPITAL DRIVE, Ketchum, ID 83340
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Other Identifiers 2

Medicare UPINE27506ID
Medicare ID-Type Unspecified1125165ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Thomas Sivertson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83340 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

ROBBIN WARNER
Physical Therapist
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8253
PETER CURRAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 726-0124
DAN S FAIRMAN MD
Internal Medicine
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8888
DAVID LAXSON M.D.
Internal Medicine (Cardiovascular Disease)
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 727-8710
ST LUKES MEDICAL CENTER WOODRIVER LTD
Home Health
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 788-2222
TRACEY L BUSBY M.D.
Family Medicine
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 622-8811
JULIA ANN WATSON NP
Nurse Practitioner (Women's Health)
100 HOSPITAL DRIVE, SUITE 105
KETCHUM, ID 83340
Blaine County (208) 622-8811
ST LUKE'S MEDICAL CENTER WOOD RIVER LTD
General Acute Care Hospital (Critical Access)
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Blaine County (208) 788-2222

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 Sivertson's NPI number?

The NPI number for Keith Sivertson is 1275560260. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Keith Sivertson located?

Keith Sivertson practices at 100 Hospital Drive, Ketchum, ID 83340. The listed phone number is (208) 727-8445.

What is Keith Sivertson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keith Sivertson enrolled in Medicare?

Yes. Keith Sivertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Sivertson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.