NATHANIEL KEPLINGER DPM
NPI 1720491046
Podiatrist in Roseburg, OR

Q: What is Nathaniel Keplinger's NPI number?

The NPI number for Nathaniel Keplinger is 1720491046. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Q: What is Nathaniel Keplinger's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment

98.18/100

CMS Quality Rating

1813 W HARVARD AVE STE 542, ROSEBURG, OR 97471(541) 673-7322(541) 673-3615 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Apr 10, 2024, Jun 22, 2020 (3 updates tracked since 2020).

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About Nathaniel Keplinger Dpm NPPES

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

NATHANIEL KEPLINGER DPM (NPI 1720491046) is an individual podiatrist in Roseburg, Oregon, licensed in Oregon (DP182197) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1720491046

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameNATHANIEL KEPLINGERCredential: DPM

Location Address1813 W HARVARD AVE STE 542Roseburg, OR 97471-2779

Mailing Address1813 W Harvard Ave Ste 542Roseburg, OR 97471-2779 · (541) 673-7322 · Fax (541) 673-3615

Phone(541) 673-7322

Fax(541) 673-3615

Sole ProprietorYes

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014

Enumeration DateJune 4, 2014

Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1720491046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in OR · DP182197

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1813 W HARVARD AVE STE 542, Roseburg, OR 97471

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Secondary Practice Location 1

Location 14100 W 3rd StDayton, OH 45428-9000 · Phone (801) 318-5028

Other Identifiers 1

Medicaid500731486OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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

Nathaniel Keplinger Dpm 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 ID7214151919

PECOS Enrollment IDI20170719001399

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 Reassignment

Medicare enrollment records show Nathaniel Keplinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roseburg Foot & Ankle Specialists, P.C.

Same address

Podiatrist

1813 W HARVARD AVE STE 542
Roseburg, OR 97471

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Roseburg Foot & Ankle Specialists PC
4 clinicians in this Medicare group

NPI 1851622153 (541) 673-7322

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 16

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

730 services252 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

585 services176 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

204 services87 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.

149 services30 patients

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.

148 services103 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.

142 services106 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

75 services41 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.

73 services73 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

43 services25 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

31 services20 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

26 services18 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

24 services15 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

23 services15 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

22 services13 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.

18 services17 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

98.18/100

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

Scored as part of a group practice

Quality

96.36

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

70%210 patients4/55-star benchmark: 92%

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

89%171 patients4/55-star benchmark: 98%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

85%171 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

95%1,604 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

93%473 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%719 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

25%869 patients2/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%246 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

69%869 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

32%869 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

3%869 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier63 claims126 services$61.33 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier44 claims264 services$24.64 avg. paid by Medicare

For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514

DME-Orthotic Devices · category DF000N

1 supplier19 claims114 services$35.55 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 3

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

DR. CORDELL BECKER SMITH DPM

Podiatrist (Foot & Ankle Surgery)

1813 W HARVARD AVE STE 542
ROSEBURG, OR 97471

Douglas County (541) 673-7322

ROSEBURG FOOT & ANKLE SPECIALISTS, P.C.

Podiatrist

1813 W HARVARD AVE STE 542
ROSEBURG, OR 97471

Douglas County (541) 673-7322

DR. DANIEL EUGENE HOWELL DPM

Podiatrist (Foot & Ankle Surgery)

1813 W HARVARD AVE STE 542
ROSEBURG, OR 97471

Douglas County (541) 673-7322

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 Nathaniel Keplinger's NPI number?

The NPI number for Nathaniel Keplinger is 1720491046. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Nathaniel Keplinger located?

Nathaniel Keplinger practices at 1813 W Harvard Ave Ste 542, Roseburg, OR 97471. The listed phone number is (541) 673-7322.

What is Nathaniel Keplinger's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Nathaniel Keplinger enrolled in Medicare?

Yes. Nathaniel Keplinger 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 organization bills Medicare for Nathaniel Keplinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Keplinger reassigns Medicare benefits to Roseburg Foot & Ankle Specialists, P.C. (Roseburg, OR). The 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 Nathaniel Keplinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Keplinger accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nathaniel Keplinger 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 Nathaniel Keplinger affiliated with any hospitals?

According to CMS data, Nathaniel Keplinger is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Keplinger was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.