KEITH F DESONIER JR. PA-C
NPI 1760792857
Physician Assistant in Fort Worth, TX

Active since October 07, 2010PECOS EnrolledAccepts Medicare Assignment
1001 12TH AVE STE 140, FORT WORTH, TX 76104(817) 871-9069(817) 871-9067 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith F Desonier Jr. Pa-c NPPES

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

KEITH F DESONIER JR. PA-C (NPI 1760792857) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA06946) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1760792857
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEITH F DESONIER JR.Credential: PA-C
Location Address1001 12TH AVE STE 140Fort Worth, TX 76104-3926
Mailing Address1001 12th Ave Ste 140Fort Worth, TX 76104-3926 · (817) 871-9069 · Fax (817) 871-9067
Fax(817) 871-9067
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 7, 2010
Last NPPES UpdateJune 9, 2011
NPI 1760792857 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 TX · PA06946
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.
1001 12TH AVE STE 140, Fort Worth, TX 76104

Other Identifiers 6

Medicare PINTXB117747TX
Medicare PINTXB117746TX
Medicaid218752801TX
Medicaid218752802TX
Medicaid218752803TX
Medicare PINTXB117748TX

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

Keith F Desonier Jr. Pa-c 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 ID9335320316
PECOS Enrollment IDI20110223001156
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 17

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
17,401 services13 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
5,199 services277 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
2,000 services277 patients
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801
This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.
1,200 services277 patients
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500
The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
400 services277 patients
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640
A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.
400 services277 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers45 claims6,540 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
7 suppliers76 claims13,160 services$6.12 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Desonier's NPI number?

The NPI number for Keith Desonier is 1760792857. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Keith Desonier located?

Keith Desonier practices at 1001 12th Ave Ste 140, Fort Worth, TX 76104. The listed phone number is (817) 871-9069.

What is Keith Desonier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keith Desonier enrolled in Medicare?

Yes. Keith Desonier 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 Keith Desonier accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Keith Desonier 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 Keith Desonier affiliated with any hospitals?

According to CMS data, Keith Desonier is affiliated with Texas Health Huguley Hospital Fort Worth South.

When was this NPI record last updated?

The NPPES record for Keith Desonier was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.