DR. PATRICK KEEHAN D.O.
NPI 1366773889
Dermatology in Fort Worth, TX

Active since January 22, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2182039 · Microscopy
0/100
CMS Quality Rating
4625 SAINT AMAND CIR, FORT WORTH, TX 76126(817) 769-3603 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Jun 10, 2020 (2 updates tracked since 2020).

About Dr. Patrick Keehan D.o. NPPES

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

DR. PATRICK KEEHAN D.O. (NPI 1366773889) is an individual dermatology provider in Fort Worth, Texas, licensed in Texas (M4232) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 4, 2026, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1366773889
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PATRICK KEEHANCredential: D.O.
Location Address4625 SAINT AMAND CIRFort Worth, TX 76126-1908
Mailing Address6387 Camp Bowie Blvd Ste B, # 340Fort Worth, TX 76116-5486 · (817) 769-3603
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2005
Enumeration DateJanuary 22, 2010
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1366773889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · M4232
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4625 SAINT AMAND CIR, Fort Worth, TX 76126

Other Identifiers 1

Medicaid213653301TX

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. Patrick Keehan D.o. 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 ID1850423005
PECOS Enrollment IDI20100723000204
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2182039

Patrick Keehan Do, PA Dba Keehan Dermatolgoy · Fort Worth, TX
Active · expires Oct 4, 2026
CLIA Number45D2182039
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorPatrick J. Keehan
Laboratory Phone(817) 769-3603
Laboratory LocationPatrick Keehan Do, PA Dba Keehan Dermatolgoy4625 Saint Amand Circle, Fort Worth, TX 76126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 24

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
10,200 services28 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.
788 services409 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
750 services173 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
415 services270 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
355 services256 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.
329 services258 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76126 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

Physician Assistant
4625 SAINT AMAND CIR
FORT WORTH, TX 76126
Dermatology
4625 SAINT AMAND CIR
FORT WORTH, TX 76126

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 Patrick Keehan's NPI number?

The NPI number for Patrick Keehan is 1366773889. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Patrick Keehan located?

Patrick Keehan practices at 4625 Saint Amand Cir, Fort Worth, TX 76126. The listed phone number is (817) 769-3603.

What is Patrick Keehan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Patrick Keehan enrolled in Medicare?

Yes. Patrick Keehan 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.

Does Patrick Keehan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2182039) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patrick Keehan accept?

Health plans from Blue Cross and Blue Shield of Texas list Patrick Keehan 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.

When was this NPI record last updated?

The NPPES record for Patrick Keehan was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.