KEITH MATTHEW WIRTH
NPI 1336568617
Surgery in Maplewood, MN
About Keith Matthew Wirth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH MATTHEW WIRTH (NPI 1336568617) is an individual surgery provider in Maplewood, Minnesota, licensed in Minnesota (61495) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Keith Matthew Wirth 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.
Medicare Billing Reassignments
5Medicare enrollment records show Keith Wirth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wirth's NPI number?
The NPI number for Keith Wirth is 1336568617. It was assigned to this individual provider in the NPPES registry on April 15, 2014.
Where is Keith Wirth located?
Keith Wirth practices at 2945 Hazelwood St Ste 200, Maplewood, MN 55109. The listed phone number is (612) 232-7800.
What is Keith Wirth's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Keith Wirth enrolled in Medicare?
Yes. Keith Wirth 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 Keith Wirth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Wirth reassigns Medicare benefits to 5 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Clinics (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). 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 Keith Wirth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Wirth accept?
Health plans from HealthPartners list Keith Wirth 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 Wirth affiliated with any hospitals?
According to CMS data, Keith Wirth is affiliated with Fairview Lakes Health Services, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Keith Wirth was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keith Matthew Wirth · NPI 1336568617
Surgery physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1336568617 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 61495 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2945 HAZELWOOD ST STE 200, Maplewood, MN 55109-1243
- **Phone:** (612) 232-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1073569943, Maplewood, MN); Fairview Express Care (NPI 1902311210, Maplewood, MN); Fairview Clinics (NPI 1124652557, Saint Paul, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1336568617) · Data from the CMS NPPES public registry.