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DR. DONALD E KEEN M.D.
NPI 1669793147
Emergency Medicine in Sheboygan, WI

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 802-2605 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Apr 3, 2025, Jul 11, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Donald E Keen M.d. NPPES

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

DR. DONALD E KEEN M.D. (NPI 1669793147) is an individual emergency medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (73394) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of University Of Missouri, Columbia School Of Medicine (2010).

NPPES Registry Identity

NPI1669793147
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DONALD E KEENCredential: M.D.
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 802-2605
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2010
Enumeration DateJune 18, 2010
Last NPPES UpdateApril 8, 20257 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1669793147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 73394
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 73394 (WI)
3400 UNION AVE, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid100100449WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald E Keen 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 ID2567765423
PECOS Enrollment IDI20200707002077
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Donald Keen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
1.8 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461
Aurora Advanced Healthcare, Inc.
42 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Lakeshore Medical Clinic, LLC
54 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589
Conner Emergency Medicine Associates, PA
1,224 mi
Emergency Medicine
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1013415934 (361) 881-3000
Guadalupe Emergency Medicine Associates, PA
1,241 mi
Emergency Medicine
2500 E MAIN ST
Alice, TX 78332
  • Reassigned Medicare billing, Texas enrollment
  • 173 clinicians in this Medicare group
NPI 1114425220 (361) 661-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
31 services31 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.
14 services14 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

LINDSEY KAY ROZEWICZ FNP-BC
Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
MR. PETER B MICHON CRNA
Nurse Anesthetist, Certified Registered
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
DR. DEANN LEAH HARPER D.O.
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2400
DR. PHILIP M. DETRANA M.D.
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2700
SUMAR ABUSHAQRA
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
LUKE ELLIOT STANCZYK PA-C
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2530
MR. MUHAMMAD RASHEED KHAN ORAKZAI M.D.
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
SREE RAMYA PUNUKOLLU
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100

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 Donald Keen's NPI number?

The NPI number for Donald Keen is 1669793147. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Donald Keen located?

Donald Keen practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2605.

What is Donald Keen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Keen enrolled in Medicare?

Yes. Donald Keen 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.

Which organizations bill Medicare for Donald Keen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Keen reassigns Medicare benefits to 5 organizations: Aurora Medical Group, Inc. (Sheboygan, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI), Conner Emergency Medicine Associates, PA (Corpus Christi, TX) and Guadalupe Emergency Medicine Associates, PA (Alice, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Keen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Keen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Oscar Health and Oscar Insurance Company list Donald Keen 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 Donald Keen affiliated with any hospitals?

According to CMS data, Donald Keen is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Keen was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.