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DR. WADE ROBERT KELLER D.O.
NPI 1942402169
Dermatology in Eagle, ID

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
96.14/100
CMS Quality Rating
1605 E RIVERSIDE DR, EAGLE, ID 83616(208) 939-6227(208) 939-6442 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2022, Oct 1, 2020, Aug 11, 2017 (3 updates tracked since 2017).

About Dr. Wade Robert Keller D.o. NPPES

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

DR. WADE ROBERT KELLER D.O. (NPI 1942402169) is an individual dermatology provider in Eagle, Idaho, licensed in Idaho (O-0559) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2005).

NPPES Registry Identity

NPI1942402169
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. WADE ROBERT KELLERCredential: D.O.
Location Address1605 E RIVERSIDE DREagle, ID 83616-6237
Mailing Address1605 E Rverside DriveEagle, ID 83616 · (208) 939-6227 · Fax (208) 939-6442
Phone(208) 939-6227
Fax(208) 939-6442
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2005
Enumeration DateJune 1, 2007
Last NPPES UpdateNovember 3, 20223 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1942402169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in ID · O-0559✔ Licensed in AZ · 4692
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License O-0559 (ID)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License O-0559 (ID)
1605 E RIVERSIDE DR, Eagle, ID 83616
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Accepted Insurance

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

Dr. Wade Robert Keller 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.

PECOS PAC ID5698806578
PECOS Enrollment IDI20100622000581
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
613 services83 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.
251 services153 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
162 services106 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
70 services62 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
43 services38 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
33 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

96.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.98
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%383 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%880 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%46 patients
Patient-Centered Surgical Risk Assessment and Communication
100%99 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%989 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

MR. MATTHEW VALLEY PA-C
Physician Assistant (Medical)
1605 E RIVERSIDE DR
EAGLE, ID 83616
Ada County (208) 939-6227

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 Wade Keller's NPI number?

The NPI number for Wade Keller is 1942402169. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Wade Keller located?

Wade Keller practices at 1605 E Riverside Dr, Eagle, ID 83616. The listed phone number is (208) 939-6227.

What is Wade Keller's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wade Keller enrolled in Medicare?

Yes. Wade Keller 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 Wade Keller accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Wade Keller 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.

When was this NPI record last updated?

The NPPES record for Wade Keller was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.