DR. KEITH A LAFERRIERE MD
NPI 1790824480
Otolaryngology in Springfield, MO

Active since February 06, 2007Opted out of Medicare · through Nov 1, 2027
1965 S FREMONT AVE, SUITE 120, SPRINGFIELD, MO 65804(417) 887-3223(417) 820-3955 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Keith A Laferriere Md NPPES

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

DR. KEITH A LAFERRIERE MD (NPI 1790824480) is an individual otolaryngology provider in Springfield, Missouri, licensed in Missouri (R4691) and active in the NPI registry since February 2007. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790824480
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEITH A LAFERRIERECredential: MD
Location Address1965 S FREMONT AVE, SUITE 120Springfield, MO 65804-2201
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Fax(417) 820-3955
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 11, 2008
NPI 1790824480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MO · R4691
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1965 S FREMONT AVE, Springfield, MO 65804

Other Identifiers 6

Medicare UPINA11190
Medicaid200926608MO
Other81712AR · Ark Blue Shield
Other22506MO · Mo Blue Shield
Medicaid107929001AR
Medicare PIN107013268MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Keith A Laferriere Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2015 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2015
Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

Pharmacist
1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Pediatrics (Pediatric Pulmonology)
1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Physician Assistant
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Internal Medicine (Geriatric Medicine)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804

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 Laferriere's NPI number?

The NPI number for Keith Laferriere is 1790824480. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Keith Laferriere located?

Keith Laferriere practices at 1965 S Fremont Ave Suite 120, Springfield, MO 65804. The listed phone number is (417) 887-3223.

What is Keith Laferriere's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Laferriere enrolled in Medicare?

No. Keith Laferriere has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keith Laferriere was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.