Active NPI 1902880313 Individual Practitioner Female Practitioner

Dr. Mari Ann Keithahn , MD

Ophthalmology • Columbia, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mari Keithahn, MD is a certified Ophthalmology practicing in Columbia, MO. With approximately 36 years of clinical experience since graduating from Duke University School Of Medicine in 1990, Dr. Keithahn delivers high-quality medical care to the local community at 105 N KEENE ST STE 102.

Dr. Keithahn accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, aflibercept hd, 1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 N Keene St Ste 102

Columbia, MO 652018131

Telephone 5737778738

Fax 5737778739

Associated Practice Facility / Clinic

🏢 Missouri Retina Consultants Pc Facility NPI 1659971620

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Columbia, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +14.1 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Columbia, MO (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keithahn (36 Years) 36 Yrs

Columbia Specialty Average (21.9 Years) 21.9 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
J2777 Injection, faricimab-svoa, 0.1 mg	32,040	101	$43.80	$33.49
J0177 Injection, aflibercept hd, 1 mg	5,816	274	$721.87	$329.78
92134 Imaging of retina	3,364	1,044	$77.98	$38.11
67028 Injection of drug into eye	2,743	439	$347.00	$107.19
99213 Established patient office or other outpatient visit, typically 15 minutes	2,575	612	$135.00	$87.72
J0178 Injection, aflibercept, 1 mg	2,424	327	$1462.50	$825.86
J2782 Injection, avacincaptad pegol, 0.1 mg	1,620	12	$459.75	$108.64
92201 Extended exam of the back part of the eye with retinal drawing	371	294	$47.00	$24.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	339	$194.00	$123.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	177	177	$256.00	$161.85
J3590 Unclassified biologics	100	44	$2405.00	$1631.63
92014 Established patient complete exam of visual system	97	96	$187.00	$117.74
92250 Photography of the retina	71	53	$94.00	$32.70
92004 New patient complete exam of visual system	64	64	$228.00	$141.77
92235 Exam of retinal blood vessels using a special camera after injection of a dye	28	28	$287.00	$134.55
76512 Ultrasound of eye disease, growth, or structure	17	16	$124.00	$45.93
67145 Photocoagulation treatment to prevent detachment of retina	14	13	$787.00	$230.28
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$2670.00	$1092.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	37,260	89	$43.80	$35.73
J0178 Injection, aflibercept, 1 mg	3,836	353	$1462.50	$860.76
92134 Imaging of retina	3,303	1,011	$145.00	$36.18
67028 Injection of drug into eye	2,724	412	$588.00	$101.77
99213 Established patient office or other outpatient visit, typically 15 minutes	2,451	594	$148.00	$82.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	415	$224.00	$117.39
92201 Extended exam of the back part of the eye with retinal drawing	311	238	$59.00	$22.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	225	225	$340.00	$153.38
92250 Photography of the retina	75	72	$174.00	$32.58
J3590 Unclassified biologics	61	27	$1474.23	$997.63
92235 Exam of retinal blood vessels using a special camera after injection of a dye	59	56	$310.00	$116.43
92004 New patient complete exam of visual system	46	46	$296.00	$135.61
92014 Established patient complete exam of visual system	39	39	$202.00	$113.84
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	19	19	$3428.00	$1033.87
67145 Photocoagulation treatment to prevent detachment of retina	15	12	$1266.00	$216.54
76512 Ultrasound of eye disease, growth, or structure	13	12	$259.00	$43.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	5,700	47	$43.80	$37.43
J0178 Injection, aflibercept, 1 mg	4,498	385	$1462.50	$890.90
67028 Injection of drug into eye	2,649	405	$588.00	$104.05
92134 Imaging of retina	2,131	707	$145.00	$37.26
92012 Established patient problem focused exam of visual system	2,021	522	$139.00	$82.01
92250 Photography of the retina	1,160	820	$174.00	$33.87
92014 Established patient complete exam of visual system	565	505	$202.00	$116.77
J2778 Injection, ranibizumab, 0.1 mg	425	18	$585.00	$280.22
99213 Established patient office or other outpatient visit, typically 15 minutes	320	283	$148.00	$84.18
J3590 Unclassified biologics	255	47	$1082.09	$938.50
92201 Extended exam of the back part of the eye with retinal drawing	209	149	$59.00	$23.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$340.00	$156.89
92235 Exam of retinal blood vessels using a special camera after injection of a dye	113	89	$310.00	$113.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	76	$224.00	$118.81
92004 New patient complete exam of visual system	42	42	$296.00	$138.99
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	21	21	$3428.00	$1059.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$435.00	$210.03
67145 Photocoagulation treatment to prevent detachment of retina	13	12	$1266.00	$209.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	5,098	398	$1462.38	$910.00
67028 Injection of drug into eye	2,800	421	$588.00	$105.62
92134 Imaging of retina	2,447	846	$144.88	$37.65
92012 Established patient problem focused exam of visual system	1,788	542	$139.00	$82.74
92014 Established patient complete exam of visual system	1,138	822	$202.00	$117.27
92250 Photography of the retina	825	644	$174.00	$35.52
J2778 Injection, ranibizumab, 0.1 mg	357	16	$585.00	$315.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	244	244	$340.00	$158.63
92201 Extended exam of the back part of the eye with retinal drawing	202	145	$59.00	$23.56
92235 Exam of retinal blood vessels using a special camera after injection of a dye	111	94	$310.00	$103.58
J3590 Unclassified biologics	74	18	$125.00	$87.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$435.00	$209.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$224.00	$100.22
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	12	$3428.00	$1071.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,873	403	$1462.50	$910.05
92134 Imaging of retina	2,806	909	$144.98	$37.93
67028 Injection of drug into eye	2,685	436	$588.00	$95.41
92012 Established patient problem focused exam of visual system	1,624	503	$139.00	$82.49
92014 Established patient complete exam of visual system	1,153	803	$202.00	$118.25
J2778 Injection, ranibizumab, 0.1 mg	420	22	$585.00	$334.07
J0179 Injection, brolucizumab-dbll, 1 mg	198	25	$487.50	$312.53
92250 Photography of the retina	153	122	$174.00	$37.39
92235 Exam of retinal blood vessels using a special camera after injection of a dye	136	108	$310.00	$92.87
92201 Extended exam of the back part of the eye with retinal drawing	126	90	$59.00	$24.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$340.00	$157.64
J3590 Unclassified biologics	88	21	$125.00	$88.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$435.00	$199.54
99213 Established patient office or other outpatient visit, typically 15 minutes	22	12	$148.00	$43.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$224.00	$68.02
76512 Ultrasound of eye disease, growth, or structure	21	15	$259.00	$43.19
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$3428.00	$1107.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	5,542	414	$1462.50	$933.91
92134 Imaging of retina	3,250	1,020	$144.76	$37.88
67028 Injection of drug into eye	2,978	440	$588.00	$96.73
92012 Established patient problem focused exam of visual system	1,919	561	$139.00	$81.95
92014 Established patient complete exam of visual system	1,292	865	$202.00	$118.11
J2778 Injection, ranibizumab, 0.1 mg	210	11	$585.00	$352.35
92250 Photography of the retina	206	157	$173.43	$41.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	179	179	$340.00	$156.67
92235 Exam of retinal blood vessels using a special camera after injection of a dye	172	132	$309.02	$83.93
92226 Examination of eye by ophthalmoscope with retinal drawing	124	80	$72.73	$32.75
J3590 Unclassified biologics	117	40	$938.68	$573.94
92225 Examination of eye by ophthalmoscope with retinal drawing	71	70	$84.76	$37.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$435.00	$197.57
99213 Established patient office or other outpatient visit, typically 15 minutes	31	13	$148.00	$44.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$224.00	$66.33
76512 Ultrasound of eye disease, growth, or structure	17	14	$259.00	$55.46
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	12	$3428.00	$1055.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	5,430	408	$1462.50	$942.18
92134 Imaging of retina	3,413	1,049	$144.87	$38.01
67028 Injection of drug into eye	3,076	446	$588.00	$95.46
92012 Established patient problem focused exam of visual system	2,233	624	$139.00	$80.57
92014 Established patient complete exam of visual system	1,149	849	$202.00	$116.57
J2778 Injection, ranibizumab, 0.1 mg	829	32	$585.00	$371.52
92250 Photography of the retina	323	222	$174.00	$45.26
92235 Exam of retinal blood vessels using a special camera after injection of a dye	286	205	$310.00	$76.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$340.00	$155.34
J3590 Unclassified biologics	144	35	$125.00	$50.18
92226 Examination of eye by ophthalmoscope with retinal drawing	114	85	$69.16	$29.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	85	85	$435.00	$192.36
92225 Examination of eye by ophthalmoscope with retinal drawing	73	73	$82.44	$35.20
99213 Established patient office or other outpatient visit, typically 15 minutes	37	14	$148.00	$38.90
67210 Laser destruction of retinal growth, 1 or more sessions	21	19	$1646.00	$484.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$224.00	$63.95
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	18	$3428.00	$1089.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	4,866	389	$1462.50	$957.52
92134 Imaging of retina	3,619	1,142	$144.81	$37.17
67028 Injection of drug into eye	2,823	427	$588.21	$94.77
92012 Established patient problem focused exam of visual system	2,127	596	$139.00	$77.76
92014 Established patient complete exam of visual system	1,441	988	$202.00	$113.18
J2778 Injection, ranibizumab, 0.1 mg	1,012	31	$585.58	$372.80
92250 Photography of the retina	300	212	$173.61	$57.33
92235 Exam of retinal blood vessels using a special camera after injection of a dye	284	208	$342.12	$68.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$340.00	$150.09
92226 Examination of eye by ophthalmoscope with retinal drawing	136	84	$69.88	$29.40
J3590 Unclassified biologics	130	27	$125.00	$50.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	93	93	$435.00	$193.94
92225 Examination of eye by ophthalmoscope with retinal drawing	69	69	$86.36	$36.54
67210 Laser destruction of retinal growth, 1 or more sessions	33	25	$1646.00	$465.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$224.00	$76.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	13	$148.00	$43.45
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	22	22	$3428.00	$1075.98
76512 Ultrasound of eye disease, growth, or structure	17	16	$259.00	$83.66

Medical Specialties & State Licenses

CMS Verified: 2020-12-03

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO 111416

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License MO 111416

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

208468504 (MO)

Commercial Insurance / Payer ID Blue Cross Blue Shield

101298 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location June 29, 2021

Registered at 105 N KEENE ST STE 102, COLUMBIA, MO 652018131 (Tel: 5737778738)

📍

Updated Business Mailing Address June 29, 2021

Registered at 105 N KEENE ST STE 102, COLUMBIA, MO 652018131 (Tel: 5737778738)

✅

NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2017

Registered at 3600 AMRON CT, COLUMBIA, MO 652021918 (Tel: 5738741616)

📍

Updated Business Mailing Address April 10, 2017

Registered at 3600 AMRON CT, COLUMBIA, MO 652021918 (Tel: 5738741616)

👤

Provider Name / Credentials Updated April 10, 2017

Recorded as MARI KEITHAHN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Ophthalmology (License #111416 in MO)

✅

NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2015

Registered at 3600 AMRON CT, BLDG 5B, COLUMBIA, MO 652021918 (Tel: 5738741616)

📍

Updated Business Mailing Address August 28, 2015

Registered at 3600 AMRON CT, BLDG 5B, COLUMBIA, MO 652021918 (Tel: 5738741616)

👤

Provider Name / Credentials Updated August 28, 2015

Recorded as MARI KEITHAHN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Ophthalmology (License #MD111416 in MO)

🟢

Initial NPI Registration & Enumeration November 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902880313

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 30, 2005

Last Update: June 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

105 N Keene St Ste 102

Columbia, MO 652018131

Phone: 5737778738

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.