DR. GEORGE D KECKEISEN MD
NPI 1619072436
Surgery - Vascular Surgery in Southampton, NY

Q: What is George Keckeisen's NPI number?

The NPI number for George Keckeisen is 1619072436. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is George Keckeisen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for George Keckeisen was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 14, 2006PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

325 MEETING HOUSE LN, BLDG #2, SOUTHAMPTON, NY 11968(631) 283-2100(631) 283-5731 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. George D Keckeisen Md NPPES

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

DR. GEORGE D KECKEISEN MD (NPI 1619072436) is an individual vascular surgery provider in Southampton, New York, licensed in New York (151417) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of New York Medical College (1981).

NPPES Registry Identity

NPI1619072436

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. GEORGE D KECKEISENCredential: MD

Location Address325 MEETING HOUSE LN, BLDG #2Southampton, NY 11968-5087

Mailing AddressPo Box 2340Southampton, NY 11969-2340 · (631) 283-2430 · Fax (631) 283-7496

Phone(631) 283-2100

Fax(631) 283-5731

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1981

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJanuary 11, 2011

✔ NPI 1619072436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NY · 151417

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

325 MEETING HOUSE LN, Southampton, NY 11968

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Other Identifiers 4

Medicare UPINB05128

Other27263NY · Vytra

Medicare ID-Type Unspecified15E101NY

Medicaid01521420NY

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. George D Keckeisen Md 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 ID1759329725

PECOS Enrollment IDI20050421000493

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 14

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

277 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

75 services74 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.

73 services59 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

38 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services25 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.

37 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services16 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

18 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$48.80 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.

LAWRENCE J TARASUK DO

Surgery

325 MEETING HOUSE LN, BLDG 2 SUITE 403
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-2100

CHRISTINE BRENNAN

Physical Therapist

325 MEETING HOUSE LN, SUITE 301
SOUTHAMPTON, NY 11968

Suffolk County (631) 287-0912

DR. RICHARD J PANEBIANCO MD

Internal Medicine

325 MEETING HOUSE LN, BLDG #2 SUITE 403
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-2100

DR. PAUL GARSON M.D.

Psychiatry & Neurology (Psychiatry)

325 MEETING HOUSE LN, BUILDING #2
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-2100

DR. GARY E MANOWITZ DMD

Dentist

325 MEETING HOUSE LN, BUILDING 2
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-0352

DR. OLGA L MCABEE MD

Psychiatry & Neurology (Neurology)

325 MEETING HOUSE LN, BLDG #2 1ST SUITE 301
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-4048

DR. CHARLES V GUIDA MD

Internal Medicine

325 MEETING HOUSE LN, BLDG #2 SUITE 403
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-2100

DR. SAMMY G NAKHLA M.D.

Internal Medicine (Infectious Disease)

325 MEETING HOUSE LN, BLDG 2 SUITE 403
SOUTHAMPTON, NY 11968

Suffolk County (631) 283-2100

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 George Keckeisen's NPI number?

The NPI number for George Keckeisen is 1619072436. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is George Keckeisen located?

George Keckeisen practices at 325 Meeting House Ln Bldg #2, Southampton, NY 11968. The listed phone number is (631) 283-2100.

What is George Keckeisen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is George Keckeisen enrolled in Medicare?

Yes. George Keckeisen 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.

Is George Keckeisen affiliated with any hospitals?

According to CMS data, George Keckeisen is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for George Keckeisen was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.