Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Wade Robert Keller , DO

Dermatology • Eagle, ID

Active NPI 1942402169 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1605 E Riverside Dr
Eagle, ID 836166237

Call 2089396227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1605 E Riverside Dr

Eagle, ID 836166237

Telephone 2089396227
Fax 2089396442
Organization at the Same NPPES Address or Phone
Keller Skin & Cancer Care Pc Facility NPI 1649543323

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Keller Skin And Cancer Care Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2005

Medicare patients

240 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $116,606 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $88,796 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

142 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,248 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $360.02 across 14 records.

By nature of payment

  • Food and Beverage: $265.03 across 13 records.
  • Education: $94.99 across 1 record.

Reporting-company totals (3 largest of 5)

  • Janssen Pharmaceuticals, Inc: $125.40 across 3 records.
  • Regeneron Pharmaceuticals, Inc.: $106.82 across 1 record.
  • Organon LLC: $71.98 across 8 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Keller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Keller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eagle and Idaho

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: 2,562. Middle half: 1,592 to 4,029.

Too few clinicians listed under Dermatology in Eagle have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $151,348. Middle half: $102,767 to $277,413.

Too few clinicians listed under Dermatology in Eagle have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $114,274. Middle half: $71,477 to $197,383.

Too few clinicians listed under Dermatology in Eagle have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: 561. Middle half: 410 to 963.

Too few clinicians listed under Dermatology in Eagle have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $122,875. Middle half: $18,166 to $348,386.

Too few clinicians listed under Dermatology in Eagle have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Dermatology with a practice address in Eagle, ID (59 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $360.02.

Manufacturer Payment Nature Product Type Amount ($)
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $106.82
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
TREMFYA General $94.99
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $31.05
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
Odomzo General $24.77
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $16.33
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $14.08
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $12.53
Organon LLC
Food and Beverage
In-kind items and services
— General $11.77
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $9.88
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $9.51
Organon LLC
Food and Beverage
In-kind items and services
— General $9.10
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $8.70
Organon LLC
Food and Beverage
In-kind items and services
— General $7.47
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $3.02

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
613 83 $31.00 $6.43
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
251 153 $130.00 $88.33
17000 Destruction of precancer skin growth, 1 growth
162 106 $133.00 $59.56
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
70 62 $1360.00 $616.32
11102 Biopsy of related skin growth, first growth
43 38 $187.00 $92.34
12052 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
33 27 $514.00 $170.15
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
26 16 $906.00 $397.27
17004 Destruction of precancer skin growth, 15 or more growths
24 15 $528.00 $159.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
23 21 $568.00 $255.16
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
23 23 $456.00 $138.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 13 $189.00 $124.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
12 12 $467.00 $112.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $189.00 $107.60

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 40 1,189 $237.41 28
Cefdinir Cefdinir 30 300 $1,070.61 28
Methotrexate Methotrexate Sodium 18 1,202 $708.52 —
Tramadol Hcl Tramadol Hcl 13 38 $19.96 13
Ketoconazole Ketoconazole 12 420 $211.46 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-03
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES ID O-0559

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES AZ 4692

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.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

License # reported to NPPES ID O-0559

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

License # reported to NPPES ID O-0559

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)

Medicare Enrollment ID

I20100622000581

Enrollment State Jurisdiction

ID

PECOS Control ID

5698806578

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Keller Skin And Cancer Care Pc

1605 E Riverside Dr, Eagle, ID 836166237

Phone: 2089396227

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Angela Coyne , PA

Physician Assistant - Medical

NPI 1538276928

Physician Assistant

NPI 1215936034

Nurse Practitioner

Matthew Valley , PA-C

Physician Assistant - Medical

NPI 1447483086

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location October 01, 2020

Registered at 1605 E RIVERSIDE DR, EAGLE, ID 836166237 (Tel: 2089396227)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Dermatology (license number reported to NPPES: AZ 4692)

âś…
NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 11, 2017

Registered at 1605 E RVERSIDE DRIVE, EAGLE, ID 83616 (Tel: 2089396227)

📍
Updated Practice Location August 11, 2017

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

👤
Provider Name / Credentials Updated August 11, 2017

Recorded as WADE KELLER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Dermatology (license number reported to NPPES: AZ 4692)

âś…
NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 30, 2012

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

📍
Business Mailing Address (Initial Record) April 30, 2012

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

👤
Provider Name / Credentials (Initial Record) April 30, 2012

Recorded as WADE KELLER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Dermatology (license number reported to NPPES: ID O-0559)

🟢
Initial NPI Registration & Enumeration June 01, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942402169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2007
Last Update: November 03, 2022
Sole Proprietor: No

Other Dermatology Specialists in Eagle

Healthcare providers in Eagle

Mailing Address

1605 E Rverside Drive

Eagle, ID 83616

Phone: 2089396227

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.