Deactivated NPI 1639259310 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey R Keim , MD

Plastic Surgery • Fargo, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Keim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2006

NPI Deactivation Date January 08, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Keim, MD was a registered Plastic Surgery practicing in Fargo, ND. Throughout an active medical career spanning 20 years, Dr. Keim provided care at the practice location at 2801 UNIVERSITY DR S until profile deactivation on 2026-01-08.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, removal of excessive skin of upper eyelid. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2801 University Dr S

Fargo, ND 581036029

Telephone 7012348900

Associated Practice Facility / Clinic

🏢 Sanford Medical Center Fargo Facility NPI 1821154253

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fargo, ND

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Fargo, ND (15 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$165.00	$118.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$121.00	$86.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	24	$121.00	$92.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$165.00	$125.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$165.00	$132.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$121.00	$94.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	35	$135.09	$97.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$155.07	$129.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	35	$102.19	$77.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$159.45	$129.01
15822 Removal of excessive skin of upper eyelid	13	13	$2431.23	$420.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	46	$102.84	$75.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$157.82	$126.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	11	$90.00	$78.25
15822 Removal of excessive skin of upper eyelid	15	15	$2275.00	$398.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$151.77	$124.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$90.00	$77.11
15822 Removal of excessive skin of upper eyelid	26	26	$2232.92	$401.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	12	$90.00	$76.92
67900 Repair of brow paralysis	16	16	$4320.00	$733.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$157.30	$124.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$89.38	$76.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$88.64	$76.91

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License ND 8461

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

April Qualley , APRN, CNP

Nurse Practitioner - Adult Health

NPI 1770849911

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Surgery (License #8461 in ND)

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NPI Profile Active July 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2012

Registered at 2801 UNIVERSITY DR S, FARGO, ND 581036029 (Tel: 7012348900)

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Updated Business Mailing Address July 12, 2012

Registered at PO BOX 2010, FARGO, ND 581220605 (Tel: 7012348900)

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Provider Name / Credentials Updated July 12, 2012

Recorded as JEFFREY KEIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2012

Plastic Surgery (License #8461 in ND)

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Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1639259310

Entity Type:

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

Enumeration Date: October 16, 2006

Last Update: July 12, 2012

Deactivation Date: January 08, 2026

Update or Correct Profile

Mailing Address

Po Box 2010

Fargo, ND 581220605

Phone: 7012348900

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.