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DR. KERI RAE DESOTO MD
NPI 1982626594
Internal Medicine in Prescott, AZ

Active since July 24, 2006Opted out of Medicare · through Apr 1, 2028
1058 FAIR ST, SUITE B, PRESCOTT, AZ 86305(928) 443-7777(888) 972-8306 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 12, 2016, Jan 26, 2016 (2 updates tracked since 2016).

About Dr. Keri Rae Desoto Md NPPES

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

DR. KERI RAE DESOTO MD (NPI 1982626594) is an individual internal medicine provider in Prescott, Arizona, licensed in Arizona (31505) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982626594
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KERI RAE DESOTOCredential: MD
Location Address1058 FAIR ST, SUITE BPrescott, AZ 86305
Mailing Address1058 Fair St S, Suite BPrescott, AZ 86305 · (928) 443-7777 · Fax (888) 972-8306
Phone(928) 443-7777
Fax(888) 972-8306
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 12, 20162 updates tracked since enumeration
✔ NPI 1982626594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 31505
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1058 FAIR ST, Prescott, AZ 86305
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified79790AZ
Medicare UPINH49525

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. Keri Rae Desoto 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 April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-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 86305 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$18.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$94.96 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. LOIS MARIE EATON NMD
Naturopath
1058 FAIR ST, #B
PRESCOTT, AZ 86305
Yavapai County (928) 778-2882
LINDA SUE FERGUSON ND
Naturopath
1058 FAIR ST, #B
PRESCOTT, AZ 86305
Yavapai County (928) 778-2882
TYLER HANIS DDS PLLC
Clinic/Center (Dental)
1058 FAIR ST
PRESCOTT, AZ 86305
Yavapai County (281) 797-6312

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 Keri Desoto's NPI number?

The NPI number for Keri Desoto is 1982626594. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Keri Desoto located?

Keri Desoto practices at 1058 Fair St Suite B, Prescott, AZ 86305. The listed phone number is (928) 443-7777.

What is Keri Desoto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keri Desoto enrolled in Medicare?

No. Keri Desoto has opted out of Medicare through April 1, 2028. 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 Keri Desoto was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.