DR. SCOTT B KELLER M.D.
NPI 1639513716
Radiology - Diagnostic Radiology in Humboldt, IL

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
85.34/100
CMS Quality Rating
624 W SOUTHSIDE DR, HUMBOLDT, IL 61931(347) 504-3246 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Apr 26, 2024, Dec 14, 2021 and 5 more (8 updates tracked since 2018).

About Dr. Scott B Keller M.d. NPPES

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

DR. SCOTT B KELLER M.D. (NPI 1639513716) is an individual diagnostic radiology provider in Humboldt, Illinois, licensed in New York (291735) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2013).

NPPES Registry Identity

NPI1639513716
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SCOTT B KELLERCredential: M.D.
Location Address624 W SOUTHSIDE DRHumboldt, IL 61931-7858
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013
Enumeration DateApril 19, 2013
Last NPPES UpdateMarch 3, 20258 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1639513716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 291735
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
624 W SOUTHSIDE DR, Humboldt, IL 61931

Accepted 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 B Keller 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 ID7113241373
PECOS Enrollment IDI20190701001329, I20220223001245, I20250616003499
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 3

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61931 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

85.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

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 1639513716. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Scott Keller located?

Scott Keller practices at 624 W Southside Dr, Humboldt, IL 61931. The listed phone number is (347) 504-3246.

What is Scott Keller's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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 Blue Cross and Blue Shield of Montana 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 Guthrie Cortland Regional Medical Center, Corning Hospital and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Scott Keller was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.