DR. KEITH PHILLIP DONALD M.D.
NPI 1285768234
Surgery in Lakeport, CA

Q: What is Keith Donald's NPI number?

The NPI number for Keith Donald is 1285768234. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Keith Donald's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Donald 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.

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment

94.75/100

CMS Quality Rating

5196 HILL RD E, SUITE 201, LAKEPORT, CA 95453(707) 263-4108(707) 263-4101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Keith Phillip Donald M.d. NPPES

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

DR. KEITH PHILLIP DONALD M.D. (NPI 1285768234) is an individual surgery provider in Lakeport, California, licensed in California (G76641) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1988).

NPPES Registry Identity

NPI1285768234

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. KEITH PHILLIP DONALDCredential: M.D.

Location Address5196 HILL RD E, SUITE 201Lakeport, CA 95453-6360

Mailing Address5196 Hill Rd E, Suite 201Lakeport, CA 95453-6360 · (707) 263-4108 · Fax (707) 263-4101

Phone(707) 263-4108

Fax(707) 263-4101

Sole ProprietorYes

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1988

Enumeration DateMarch 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285768234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G76641

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5196 HILL RD E, Lakeport, CA 95453

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Other Identifiers 3

Medicaid00G766411CA

Medicare UPINF63860CA

Medicare ID-Type Unspecified00G766411CA

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 Phillip Donald 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 ID8022202449

PECOS Enrollment IDI20101029001024

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 14

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

177 services137 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 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.

87 services29 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

77 services69 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

74 services74 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using a flexible endoscope with electrical cautery 43250

This procedure involves using a flexible tube with a camera (endoscope) to view and remove abnormal growths (polyps) in the esophagus, stomach, or upper small intestine. Electrical cautery, a tool that uses heat, helps in safely removing these growths.

58 services55 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

47 services47 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.

42 services42 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.

28 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

21 services21 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

12 services12 patients

Monitoring and recording of esophageal function through a capsule attached to the esophagus wall 91035

This procedure involves a small capsule being attached to your esophagus wall. It measures and records how your esophagus is functioning, helping to identify any potential issues. You won't feel the capsule and it will pass naturally through your system after a few days.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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.

94.75/100

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

Individually scored

Quality

81.37

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

61%140 patients3/55-star benchmark: 93%

Cervical Cancer Screening

33%69 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

86%272 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

67%229 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

17%70 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

44%70 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

73%1,237 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

7%308 patients1/55-star benchmark: 100%

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

35%672 patients2/55-star benchmark: 98%

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

5%466 patients1/55-star benchmark: 97%

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

26%590 patients2/55-star benchmark: 61%

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

Patients screened: 98% · 131 patients

92%131 patients

Provide Patients Electronic Access to Their Health Information

100%248 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 18% · 290 patients

Patients totalRate: 19% · 290 patients

15%290 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY TRENT CLAIR M.D.

Internal Medicine (Cardiovascular Disease)

5196 HILL RD E, STE 202
LAKEPORT, CA 95453

Lake County (707) 263-1777

KEITH F. KORVER, M.D., INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5196 HILL RD E, STE 202
LAKEPORT, CA 95453

Lake County (707) 263-1777

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Internal Medicine (Cardiovascular Disease)

5196 HILL RD E, STE 202
LAKEPORT, CA 95453

Lake County (707) 263-1777

SUTTER BAY HOSPITALS

Clinic/Center

5196 HILL RD E, SUITE 300
LAKEPORT, CA 95453

Lake County (707) 263-6885

MRS. NICOLE J WINEGARNER FNP

Nurse Practitioner (Family)

5196 HILL RD E
LAKEPORT, CA 95453

Lake County (707) 263-4108

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 Donald's NPI number?

The NPI number for Keith Donald is 1285768234. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Keith Donald located?

Keith Donald practices at 5196 Hill Rd E Suite 201, Lakeport, CA 95453. The listed phone number is (707) 263-4108.

What is Keith Donald's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Keith Donald enrolled in Medicare?

Yes. Keith Donald 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 Keith Donald 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.