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DR. SCOTT T KELLER DO
NPI 1609861830
Family Medicine in Lilburn, GA

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
4120 FIVE FORKS TRICKUM RD SW, SUITE 105, LILBURN, GA 30047(770) 921-6900(770) 921-6313 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott T Keller Do NPPES

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

DR. SCOTT T KELLER DO (NPI 1609861830) is an individual family medicine provider in Lilburn, Georgia, licensed in Georgia (024445) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of West Virginia School Of Osteopathic Medicine (1979).

NPPES Registry Identity

NPI1609861830
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT T KELLERCredential: DO
Location Address4120 FIVE FORKS TRICKUM RD SW, SUITE 105Lilburn, GA 30047-3130
Mailing Address4120 Five Forks Trickum Rd Sw, Suite 105Lilburn, GA 30047-3130 · (770) 921-6900 · Fax (770) 921-6313
Phone(770) 921-6900
Fax(770) 921-6313
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1979
Enumeration DateSeptember 14, 2005
Last NPPES UpdateOctober 30, 2007
✔ NPI 1609861830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 024445
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4120 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047
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Other Identifiers 3

Medicare UPINE89431GA
Medicaid00275272DGA
Medicare PIN08LCBCTGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Scott T Keller Do 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 ID7214036656
PECOS Enrollment IDI20070626000136
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 2

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.

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.
93 services34 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.
27 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$66.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DEAN S ATTAWAY M. D.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
SANA ALI NP
Nurse Practitioner (Family)
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 255-3491
EUNMI HUR MD
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
GWINNETT PEDIATRIC PARTNERS, INC
Pediatrics
4120 FIVE FORKS TRICKUM RD SW, STE 102
LILBURN, GA 30047
Gwinnett County (770) 923-6400
TASLIMA BHUIYAN MD
Internal Medicine (Cardiovascular Disease)
4120 FIVE FORKS TRICKUM RD SW, SUITE 103
LILBURN, GA 30047
Gwinnett County (770) 255-3491
MOUNTAIN EAST FAMILY MEDICINE PC
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, SUITE 105
LILBURN, GA 30047
Gwinnett County (770) 921-6900
WILLIAM J ANDERSON M. D.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 935-9546
DR. ROBERT CLARK FRANTZ D.O.
Family Medicine
4120 FIVE FORKS TRICKUM RD SW, STE 105
LILBURN, GA 30047
Gwinnett County (770) 921-6900

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 Scott Keller's NPI number?

The NPI number for Scott Keller is 1609861830. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Scott Keller located?

Scott Keller practices at 4120 Five Forks Trickum Rd SW Suite 105, Lilburn, GA 30047. The listed phone number is (770) 921-6900.

What is Scott Keller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Keller enrolled in Medicare?

Yes. Scott Keller 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 Scott Keller accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Scott Keller 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 Scott Keller affiliated with any hospitals?

According to CMS data, Scott Keller is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Keller was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.