DR. KEITH L. PROBST M.D.
NPI 1316998446
Family Medicine in Estherville, IA

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
926 N 8TH ST, ESTHERVILLE, IA 51334(712) 362-6501(712) 362-7190 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Keith L. Probst M.d. NPPES

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

DR. KEITH L. PROBST M.D. (NPI 1316998446) is an individual family medicine provider in Estherville, Iowa, licensed in Iowa (26398) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Southern Illinois University School Of Medicine (1986).

NPPES Registry Identity

NPI1316998446
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITH L. PROBSTCredential: M.D.
Location Address926 N 8TH STEstherville, IA 51334-1300
Mailing Address926 N 8th StEstherville, IA 51334-1300 · (712) 362-6501 · Fax (712) 362-7190
Fax(712) 362-7190
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1986
Enumeration DateMay 13, 2006
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1316998446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 26398
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.
926 N 8TH ST, Estherville, IA 51334

Other Identifiers 4

Medicaid0037945IA
Medicare UPINE18436IA
Other080116345IA · Railroad Medicare
Medicare ID-Type Unspecified07600IA

Accepted Insurance

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 L. Probst 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 ID1254344435
PECOS Enrollment IDI20060712000015
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 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
116 services33 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.
67 services34 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
67 services19 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
40 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
31 services13 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
19 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

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 51334 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers152 claims286 services$5.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers34 claims34 services$0.90 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims185 services$3.46 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers53 claims53 services$42.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers38 claims38 services$117.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers41 claims123 services$42.49 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 9

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

Clinic/Center
926 N 8TH ST
ESTHERVILLE, IA 51334
Family Medicine
926 N 8TH ST
ESTHERVILLE, IA 51334
Nurse Practitioner (Primary Care)
926 N 8TH ST
ESTHERVILLE, IA 51334
Family Medicine
926 N 8TH ST
ESTHERVILLE, IA 51334
Family Medicine
926 N 8TH ST
ESTHERVILLE, IA 51334
Nurse Practitioner
926 N 8TH ST
ESTHERVILLE, IA 51334
Nurse Practitioner (Family)
926 N 8TH ST
ESTHERVILLE, IA 51334
Nurse Practitioner (Family)
926 N 8TH ST
ESTHERVILLE, IA 51334

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 Probst's NPI number?

The NPI number for Keith Probst is 1316998446. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Keith Probst located?

Keith Probst practices at 926 N 8th St, Estherville, IA 51334. The listed phone number is (712) 362-6501.

What is Keith Probst's specialty?

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

Is Keith Probst enrolled in Medicare?

Yes. Keith Probst 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.

What insurance does Keith Probst accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Keith Probst 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 Keith Probst affiliated with any hospitals?

According to CMS data, Keith Probst is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera Holy Family Hospital, Kossuth Regional Health Center and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Keith Probst was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.