ELIZABETH GREER KELLER
NPI 1629627864
Physician Assistant in Santa Monica, CA

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment
2021 SANTA MONICA BLVD STE 440E, SANTA MONICA, CA 90404(310) 453-1386(310) 453-4786 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Greer Keller NPPES

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

ELIZABETH GREER KELLER (NPI 1629627864) is an individual physician assistant in Santa Monica, California, licensed in California (PA56999) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629627864
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH GREER KELLER
Location Address2021 SANTA MONICA BLVD STE 440ESanta Monica, CA 90404-2154
Mailing Address9344 National Blvd Apt 8Los Angeles, CA 90034-2925 · (717) 679-1678
Fax(310) 453-4786
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 10, 2019
NPI 1629627864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA56999
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2021 SANTA MONICA BLVD STE 440E, Santa Monica, CA 90404

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

Elizabeth Greer Keller 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 ID2567877392
PECOS Enrollment IDI20210209000614
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
101 services52 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
77 services14 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
30 services28 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.
22 services15 patients
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast 49450
This procedure involves replacing a tube in your stomach or large bowel. It's guided by a special type of X-ray called fluoroscopy, which helps ensure accurate placement. Contrast material is used to enhance the visibility of your internal structures.
22 services22 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier57 claims57 services$99.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629627864, enumerated as an "individual" on September 10, 2019.

The provider is located at 2021 SANTA MONICA BLVD STE 440E SANTA MONICA, CA 90404 and the phone number is (310) 453-1386.

Physician Assistant with taxonomy code 363A00000X.