DR. SHAYNE S KEDDY D.O.
NPI 1861465627
Pain Medicine - Pain Medicine in Potosi, MO
About Dr. Shayne S Keddy D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAYNE S KEDDY D.O. (NPI 1861465627) is an individual pain medicine provider in Potosi, Missouri, licensed in Missouri (2001016005) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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. Shayne S Keddy D.o. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Shayne Keddy reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Potosi, MO 63664
- Reassigned Medicare billing, Missouri enrollment
- 60 clinicians in this Medicare group
Mineral Point, MO 63660
- Reassigned Medicare billing, Missouri enrollment
- 35 clinicians in this Medicare group
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 118 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 178 clinicians in this Medicare group
Perryville, MO 63775
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1063117158 (Missouri)
- 192 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Troy, MO 63379
- Reassigned Medicare billing, Missouri enrollment
- 229 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Missouri enrollment
- 343 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Jefferson
Acute Care Hospitals · Festus, MOMercy Hospital Springfield
Acute Care Hospitals · Springfield, MOMercy Hospital Perry
Critical Access Hospitals · Perryville, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shayne Keddy's NPI number?
The NPI number for Shayne Keddy is 1861465627. It was assigned to this individual provider in the NPPES registry on February 10, 2006.
Where is Shayne Keddy located?
Shayne Keddy practices at 24 Southtowne Dr, Potosi, MO 63664. The listed phone number is (573) 438-3737.
What is Shayne Keddy's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Shayne Keddy enrolled in Medicare?
Yes. Shayne Keddy 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 Shayne Keddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shayne Keddy reassigns Medicare benefits to 8 organizations: Potosi Emergency Group, LLC (Potosi, MO), Great Mines Health Center (Mineral Point, MO), Mercy Hospital Jefferson (Festus, MO), Mercy Hospitals East Communities (Washington, MO), Mercy Hospital Perry (Perryville, MO) and 3 more organizations, listed in the Medicare section above. 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 Shayne Keddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shayne Keddy accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Shayne Keddy 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 Shayne Keddy affiliated with any hospitals?
According to CMS data, Shayne Keddy is affiliated with Mercy Hospital Jefferson, Mercy Hospital Springfield and Mercy Hospital Perry.
When was this NPI record last updated?
The NPPES record for Shayne Keddy was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Shayne S Keddy, D.O. · NPI 1861465627
Pain Medicine physician in Potosi, Missouri. Individual provider, active in the CMS NPPES registry since February 10, 2006.
## Identity
- **NPI:** 1861465627 (Entity type: Individual)
- **Enumerated:** February 10, 2006
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** 2001016005 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 24 SOUTHTOWNE DR, Potosi, MO 63664-5729
- **Phone:** (573) 438-3737
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Potosi Emergency Group, LLC (NPI 1881075349, Potosi, MO); Great Mines Health Center (NPI 1891341665, Mineral Point, MO); Mercy Hospital Jefferson (NPI 1508859661, Festus, MO); Mercy Hospitals East Communities (NPI 1104912997, Washington, MO); Mercy Hospital Perry (NPI 1720767940, Perryville, MO); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2000
## Record status
- **NPPES last updated:** December 17, 2014
- **Other identifiers:** Medicare UPIN H94429
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Source: [NPI Profile](https://npiprofile.com/npi/1861465627) · Data from the CMS NPPES public registry.