KEITH MATTHEW WIRTH
NPI 1336568617
Surgery in Maplewood, MN

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109(612) 232-7800 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2023, Aug 23, 2021, Feb 20, 2020 and 2 more (5 updates tracked since 2017).

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

NPI1336568617
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKEITH MATTHEW WIRTH
Location Address2945 HAZELWOOD ST STE 200Maplewood, MN 55109-1243
Mailing Address2945 Hazelwood St Ste 200Maplewood, MN 55109-1243 · (612) 232-7800 · Fax (651) 326-8770
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateAugust 7, 20235 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1336568617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 61495
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.

2945 HAZELWOOD ST STE 200, Maplewood, MN 55109

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

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.

PECOS PAC ID6406150267
PECOS Enrollment IDI20170828003956
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 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.

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.
34 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 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.
17 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Rheumatology)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Audiologist
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Surgery
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Audiologist
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Physician Assistant
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Urology
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Surgery (Vascular Surgery)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109

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.

What insurance does Keith Wirth accept?

Health plans from HealthPartners and Medica 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 University Of Mn, 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 with the weekly NPPES data releases published by CMS.