DR. KEITH Y MIYAMOTO M.D.
NPI 1609883842
Urology in Gaylord, MI

Q: What is Keith Miyamoto's NPI number?

The NPI number for Keith Miyamoto is 1609883842. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Keith Miyamoto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Miyamoto was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

829 N CENTER AVE, SUITE 160, GAYLORD, MI 49735(989) 731-7131(989) 731-6415 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Keith Y Miyamoto M.d. NPPES

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

DR. KEITH Y MIYAMOTO M.D. (NPI 1609883842) is an individual urology provider in Gaylord, Michigan, licensed in Michigan (4301032171) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of University Of Michigan Medical School (1972).

NPPES Registry Identity

NPI1609883842

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. KEITH Y MIYAMOTOCredential: M.D.

Location Address829 N CENTER AVE, SUITE 160Gaylord, MI 49735-1595

Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929

Phone(989) 731-7131

Fax(989) 731-6415

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1972

Enumeration DateAugust 1, 2006

Last NPPES UpdateDecember 23, 2020

NPPES CertifiedDecember 23, 2020

✔ NPI 1609883842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301032171

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

829 N CENTER AVE, Gaylord, MI 49735

Open in Google Maps ↗

Other Identifiers 1

OtherOF96004Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Keith Y Miyamoto 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 ID1759350978

PECOS Enrollment IDI20040927000285

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.

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number231301

Location419 S CoralKalkaska, MI 49646 · Kalkaska County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers39 claims6,930 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

6 suppliers72 claims12,950 services$1.73 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

4 suppliers13 claims3,420 services$5.22 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

4 suppliers14 claims52 services$5.21 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 20

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

DR. JOHN DAVID MOFFAT M.D.

Surgery

829 N CENTER AVE, SUITE 120
GAYLORD, MI 49735

Otsego County (989) 731-7987

STEVEN JOHN WISNIEWSKI M.D.

Internal Medicine

829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735

Otsego County (989) 731-7870

DR. CHANGXIN LI M.D.

Internal Medicine

829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735

Otsego County (989) 731-7870

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Clinic/Center (Rural Health)

829 N CENTER AVE
GAYLORD, MI 49735

Otsego County (989) 731-7708

KATHLEEN MARIE PAWLANTA F.N.P.

Nurse Practitioner (Family)

829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735

Otsego County (989) 731-7860

JOHN MATTHEW LAWRENCE

Physician Assistant

829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735

Otsego County (989) 731-7860

GAYLORD OBSTETRICS & GYNECOLOGY. P.C.

Obstetrics & Gynecology

829 N CENTER AVE, SUITE 200
GAYLORD, MI 49735

Otsego County (989) 731-2105

MATTHEW A MAZUR D.O.

Internal Medicine

829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735

Otsego County (989) 731-7870

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 Miyamoto's NPI number?

The NPI number for Keith Miyamoto is 1609883842. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Keith Miyamoto located?

Keith Miyamoto practices at 829 N Center Ave Suite 160, Gaylord, MI 49735. The listed phone number is (989) 731-7131.

What is Keith Miyamoto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Keith Miyamoto enrolled in Medicare?

Yes. Keith Miyamoto 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 Miyamoto accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Keith Miyamoto 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 Miyamoto affiliated with any hospitals?

According to CMS data, Keith Miyamoto is affiliated with Munson Healthcare Grayling Hospital, Munson Medical Center, Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Keith Miyamoto was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.