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KEITH WESTLEY SHILLITO M.D.
NPI 1417954850
Family Medicine - Adult Medicine in Parker, AZ

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
15/100
CMS Quality Rating
905 FIESTA, PARKER, AZ 85344(928) 669-2225(928) 669-6751 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Westley Shillito M.d. NPPES

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

KEITH WESTLEY SHILLITO M.D. (NPI 1417954850) is an individual adult medicine provider in Parker, Arizona, licensed in Arizona (32755) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1997).

NPPES Registry Identity

NPI1417954850
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameKEITH WESTLEY SHILLITOCredential: M.D.
Location Address905 FIESTAParker, AZ 85344-5152
Mailing Address905 FiestaParker, AZ 85344-5152 · (928) 669-2225 · Fax (928) 669-6751
Phone(928) 669-2225
Fax(928) 669-6751
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 1997
Enumeration DateJune 30, 2005
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1417954850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AZ · 32755
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
905 FIESTA, Parker, AZ 85344
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Other Identifiers 7

Medicare OSCAR/certification031317
Medicare OSCAR/certification03Z317
Medicare UPINH18832
Medicaid480046AZ
Medicaid862690AZ
MedicaidZP03006701AZ
Medicare ID-Type UnspecifiedZ80852

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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 Westley Shillito 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 ID749266617
PECOS Enrollment IDI20040630000749
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85344 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40

Other Providers at the Same Location NPPES

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

PARKER MEDICAL CENTER, LTD.
Clinic/Center (Rural Health)
905 FIESTA
PARKER, AZ 85344
LA Paz County (928) 669-2225

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 Shillito's NPI number?

The NPI number for Keith Shillito is 1417954850. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Keith Shillito located?

Keith Shillito practices at 905 Fiesta, Parker, AZ 85344. The listed phone number is (928) 669-2225.

What is Keith Shillito's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Keith Shillito enrolled in Medicare?

Yes. Keith Shillito 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 Shillito accept?

Health plans from Blue Cross Blue Shield of Arizona list Keith Shillito 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 Keith Shillito was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.