DR. CHARLES ROBERT KELLER D.O.
NPI 1629189311
Family Medicine - Adult Medicine in Logan, OH

Q: What is Charles Keller's NPI number?

The NPI number for Charles Keller is 1629189311. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Charles Keller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Keller was last updated on November 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 31, 2006PECOS Enrolled

1383 W HUNTER ST, LOGAN, OH 43138(740) 385-0202(740) 380-2734 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 23, 2020, Oct 20, 2020, Jun 14, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Charles Robert Keller D.o. NPPES

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

DR. CHARLES ROBERT KELLER D.O. (NPI 1629189311) is an individual adult medicine provider in Logan, Ohio, licensed in Ohio (34003787) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629189311

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDR. CHARLES ROBERT KELLERCredential: D.O.

Location Address1383 W HUNTER STLogan, OH 43138-1013

Mailing AddressPo Box 228Logan, OH 43138-0228 · (740) 385-0202 · Fax (740) 380-2734

Phone(740) 385-0202

Fax(740) 380-2734

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 23, 20205 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1629189311 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 OH · 34003787

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1383 W HUNTER ST, Logan, OH 43138

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Other Identifiers 1

Medicaid0565240OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Robert Keller D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43138 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers34 claims79 services$6.59 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

1 supplier11 claims11 services$45.43 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

1 supplier11 claims11 services$13.88 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier16 claims88 services$2.06 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$13.40 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier13 claims16 services$14.30 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 11

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

MARK J SCARMACK M.D.

Pediatrics