Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Keeley Diane Lantrip

Physician Assistant โ€ข Fort Worth, TX

Active NPI 1811524945 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 S Main St
Fort Worth, TX 761044941

Call 8173210404 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

1500 S Main St

Fort Worth, TX 761044941

Telephone 8173210404
Organization at the Same NPPES Address or Phone
Jps Physician Group Inc Facility NPI 1184619082

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: Radiology And Imaging Consultants 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

Graduation Year

2020

Medicare patients

255 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $27,425 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,050 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 โ€“ by Provider and Service, 2024.

30-day fills

12 standardized 30-day fills in 2022

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

$6,947 in 2022

The total cost of these prescriptions in 2022, 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 โ€“ by Provider and Drug, 2022.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $119.89 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 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

2020

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Keeley Lantrip 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 Keeley Lantrip 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 Fort Worth and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Fort Worth, TX (2024, 267 clinicians with data). Median for this group: 240. Middle half: 63 to 682.

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Fort Worth, TX (2024, 267 clinicians with data). Median for this group: $16,537. Middle half: $5,475 to $38,161.

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Fort Worth, TX (2024, 267 clinicians with data). Median for this group: $12,038. Middle half: $3,898 to $28,431.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Keeley Lantrip are from 2022.

601 active clinicians are listed under Physician Assistant with a practice address in Fort Worth, TX (11,008 in Texas).

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

Telehealth indicator in Fort Worth

13.3% of these 601 clinicians have the CMS telehealth indicator.

52.7% of these 601 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $119.89.

Manufacturer Payment Nature Product Type Amount ($)
Stryker Corporation
Food and Beverage
In-kind items and services
FLOWTRIEVER General $119.89

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 ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“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 โ€“ by Provider and Service data, 2022โ€“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
49083 Drainage of fluid from abdominal cavity using imaging guidance
68 35 $438.00 $83.09
32555 Aspiration of fluid from chest cavity using imaging guidance
48 29 $452.00 $91.93
77001 Fluoroscopic guidance for insertion or removal of central vein access device
39 38 $75.00 $15.19
76937 Ultrasonic guidance for blood vessel access
36 35 $57.00 $11.76
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
28 28 $50.00 $10.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
20 20 $282.00 $67.53
77002 Fluoroscopic guidance for needle placement
19 19 $111.00 $22.78
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
18 18 $360.00 $68.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
18 16 $407.00 $101.01
10005 Fine needle aspiration biopsy using ultrasound guidance, first growth
17 17 $292.00 $61.88
36558 Insertion of tunneled central venous tube for infusion (5 years or older)
16 16 $1113.00 $215.68
36561 Insertion of central venous tube with port (5 years or older)
14 14 $1432.00 $280.57
38222 Biopsy and aspiration of bone marrow sample for diagnosis
14 14 $311.00 $61.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $623.00 $148.15

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 2022.

CMS Part D ยท Data Year 2022
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Eliquis Apixaban 11 360 $6,947.15 โ€”

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA13694

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Texas Medical 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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241220003672

Enrollment State Jurisdiction

CO

PECOS Control ID

1153745997

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) 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

Radiology And Imaging Consultants Pc

4050 Briargate Pkwy, Colorado Springs, CO 809207815

Phone: 7193645000

Radiology And Imaging Consultants Pc

175 S Union Blvd, Colorado Springs, CO 809103113

Phone: 7193655242

Radiology And Imaging Consultants Pc

1400 E Boulder St, Colorado Springs, CO 809095599

Phone: 7193655120

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Michael Achilleos , MD

Radiology - Diagnostic Radiology

NPI 1396189494

Doctor of Medicine (M.D.)

Dr. Oladapo Adeniran , MD

Radiology - Vascular & Interventional Radiology

NPI 1952899676

Doctor of Medicine (M.D.)

Dr. Rakesh Ahuja , MD

Radiology - Vascular & Interventional Radiology

NPI 1538576483

Doctor of Medicine (M.D.)

Brilyn Akerley , PA-C

Physician Assistant

NPI 1124664982

Physician Assistant (Certified)

Dr. Mohammed Alam , MD

Radiology - Vascular & Interventional Radiology

NPI 1710416003

Doctor of Medicine (M.D.)

Dr. Ryan Alexander , DO

Radiology - Diagnostic Radiology

NPI 1114289741

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated March 25, 2024

Recorded as KEELEY LANTRIP

๐Ÿ“
Updated Business Mailing Address September 14, 2020

Registered at 816 W CANNON ST, FORT WORTH, TX 761043146 (Tel: 8173210404)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Physician Assistant (license number reported to NPPES: TX PA13694)

โœ…
NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 26, 2020

Registered at 1500 S MAIN ST, FORT WORTH, TX 761044941 (Tel: 8177023431)

๐Ÿ“
Business Mailing Address (Initial Record) March 26, 2020

Registered at 4107 WAVERLY RD, CORINTH, TX 762085269 (Tel: 9404538166)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 26, 2020

Recorded as KEELEY BREWER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration March 26, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811524945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: March 25, 2024
Sole Proprietor: No

Other Physician Assistants in Fort Worth

All Physician Assistants in Fort Worth

Mailing Address

816 W Cannon St

Fort Worth, TX 761043146

Phone: 8173210404

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.