Active NPI 1750393203 Individual Practitioner Male Practitioner

Dr. Jack P Keith , MD

Anesthesiology • Lewiston, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Keith, MD is a certified Anesthesiology practicing in Lewiston, ME. With approximately 40 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1986, Dr. Keith delivers high-quality medical care to the local community at 45 GOLDER ST.

Dr. Keith is affiliated with Mary Imogene Bassett Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for exam of colon using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure in upper abdomen including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Golder St

Lewiston, ME 042406033

Telephone 2077553715

Fax 2077553728

Associated Practice Facility / Clinic

🏢 St. Mary's Anesthesia Associates, P.a. Facility NPI 1538236534

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Lewiston, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +23.6 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

23 Specialists

Practicing in Lewiston, ME (290 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keith (40 Years) 40 Yrs

Lewiston Specialty Average (16.4 Years) 16.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	33	33	$436.33	$52.75
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	25	24	$530.40	$63.35
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	12	11	$1571.08	$203.74
00813 Anesthesia for procedure on small and large bowel using an endoscope	11	11	$667.64	$78.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	34	34	$411.00	$49.45
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	29	29	$559.83	$70.87
00812 Anesthesia for exam of colon using an endoscope	15	15	$449.37	$54.07
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$647.82	$84.13
00811 Anesthesia for procedure on large bowel using an endoscope	11	11	$499.95	$62.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	19	19	$419.63	$52.16
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	18	18	$552.50	$68.57
00811 Anesthesia for procedure on large bowel using an endoscope	18	18	$516.61	$64.19
00812 Anesthesia for exam of colon using an endoscope	16	16	$429.78	$53.39
00813 Anesthesia for procedure on small and large bowel using an endoscope	11	11	$744.14	$92.45
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$1553.18	$192.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	45	45	$469.20	$58.91
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	17	17	$1478.00	$185.10
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	16	16	$628.47	$78.71
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	15	15	$1451.80	$181.83
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$697.61	$87.37
00811 Anesthesia for procedure on large bowel using an endoscope	13	13	$530.92	$66.49
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	13	13	$889.88	$111.45
36620 Insertion of artery tube for blood sampling or infusion through skin	11	11	$270.00	$44.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	74	74	$446.94	$56.48
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	16	15	$1647.41	$208.89
00813 Anesthesia for procedure on small and large bowel using an endoscope	15	15	$736.10	$93.29
00812 Anesthesia for exam of colon using an endoscope	14	14	$409.21	$51.69
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	14	14	$527.61	$66.63
36620 Insertion of artery tube for blood sampling or infusion through skin	12	12	$270.00	$44.65
00811 Anesthesia for procedure on large bowel using an endoscope	12	12	$518.50	$65.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope	28	28	$426.52	$53.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$111.17	$31.40
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$964.17	$107.73
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	11	11	$428.00	$64.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00104 Anesthesia for electroshock therapy	42	17	$490.24	$51.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$125.00	$31.64
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	14	14	$510.00	$51.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00104 Anesthesia for electroshock therapy	146	31	$482.16	$50.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$125.00	$31.51
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	16	16	$476.00	$50.66

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License ME 013034

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

316040099 (ME)

Commercial Insurance / Payer ID Railroad Medicare

050029135

Commercial Insurance / Payer ID Anthem Bc/bs

002622 (ME)

Hospital & Practice Group Affiliations

Mary Imogene Bassett Hospital

178 Grandview Dr, Cobleskill, NY 120435144

Phone: 5182543456

Mary Imogene Bassett Hospital

1 Norton Ave, Oneonta, NY 138202629

Phone: 6075473456

Mary Imogene Bassett Hospital

1 Atwell Rd, Cooperstown, NY 133261394