PETER M KEEFE MD
NPI 1417931569
Pediatrics in Auburn, MA
NPI Status: Active since December 02, 2005
Contact Information
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
Phone: (508) 832-5917
Fax: (508) 832-5751
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About PETER KEEFE
This page provides the complete NPI Profile along with additional information for Peter Keefe, a pediatrician established in Auburn, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1417931569 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number 74156 (MA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1417931569
- Provider Name
- PETER M KEEFE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 385 SOUTHBRIDGE ST AUBURN, MA 01501
- Location Phone
- (508) 832-5917
- Location Fax
- (508) 832-5751
- Mailing Address
- 5 NEPONSET ST FL STREET2 WORCESTER, MA 01606
- Mailing Phone
- (508) 832-5917
- Mailing Fax
- (508) 832-5751
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-02-2005
- Last Update Date
- 03-13-2019
- Code Navigator
A pediatrician like Peter Keefe is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 74156
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29198 | OTHER (01) | CHILDRENS MEDICAL SECURIT | |
| 042472266 | OTHER (01) | THREE RIVERS | |
| 042472266 | OTHER (01) | TRICARE CHAMPUS | |
| 29198 | OTHER (01) | HEALTHY START | |
| 784150 | OTHER (01) | MVP HEALTH CARE | |
| J12537 | OTHER (01) | BLUE SHIELD INDEMNITY | |
| 042472266 | OTHER (01) | ONE HEALTH PLAN | |
| 9900829 | OTHER (01) | FALLON COMMUNITY HEALTH P | |
| 7157271 | OTHER (01) | AETNA US HEALTHCARE | |
| AA1174 | OTHER (01) | HARVARD PILGRIM HEALTHCAR | |
| J12537 | OTHER (01) | MEDICARE B | |
| 7538260 | OTHER (01) | CIGNA | |
| 917826 | OTHER (01) | FIRST HEALTH | |
| 042472266 | OTHER (01) | HEALTHCARE VALUE MANAGEME | |
| 042472266 | OTHER (01) | PRIVATE HEALTHCARE SYSTEM | |
| 740020 | OTHER (01) | TUFTS HEALTH PLAN | |
| J12537 | OTHER (01) | BLUE SHIELD HMO BLUE | |
| J12537 | OTHER (01) | BLUE CARE ELECT |
Medicare Participation & PECOS Enrollment Status
Peter Keefe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 9 | 3 | 1 | 5 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 18 | 3 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 8 + 3 + 2 + 5 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1417931569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. KIMBERLY MCLEOD
Optometrist
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
ANGELA IMPERIOLI O.D.
Optometrist
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
MCLEOD EYE ASSOCIATES, P.C.
Optometrist
385 SOUTHBRIDGE ST
SUITE 210
AUBURN, MA
ZIP 01501
JAMES SLADE
Hearing Instrument Specialist
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
DR. HEMANT KUMAR PATEL O.D.
Optometrist
385 SOUTHBRIDGE ST
(LENSCRAFTERS AUBURN MALL)
AUBURN, MA
ZIP 01501
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
385 SOUTHBRIDGE ST
AUBURN MALL
AUBURN, MA
ZIP 01501
JONATHAN E. GERBODE-GRANT
Nurse Practitioner
(Family)
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
DANIEL B GUILBERT MD
Internal Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
CHRISTINE M MANYAK PT
Physical Therapist
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
DR. PATRICIA F MAALOULI M.D.
Pediatrics
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
BETH A BYLUND PT
Physical Therapist
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
SEEMA NARAVANE MD
Internal Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
MARIA A SCHOEN MD
Pediatrics
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
CHERYL L MARIANO-PERUGINI NP
Nurse Practitioner
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
DR. ERIC M LUPOLI D.O.
Family Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
NATALIE G OSORIO MD
Internal Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
ACHAL AGGARWAL MD
Pediatrics
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
JOHN R PERSON MD
Dermatology
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
RALPH J SAMA MD
Internal Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
WILLIAM M GAINES MD
Internal Medicine
385 SOUTHBRIDGE ST
AUBURN, MA
ZIP 01501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417931569, enumerated as an "individual" on December 02, 2005.
The provider is located at 385 SOUTHBRIDGE ST AUBURN, MA 01501 and the phone number is (508) 832-5917.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.
