Dr. Douglas Keim, MD
190 Campus Blvd, Ste 200, Winchester, VA 22601 • +1-297-555-7866
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Winchester Percentiles
NPI #1356303051 • CBSA Regional • Internal Medicine
Operating out of Winchester, VA (190 Campus Blvd, Ste 200), Internal Medicine clinician Dr. Douglas Keim, MD (accredited MD/DO training, 1996) maintains a upper-quartile active clinical volume (75.68th Winchester percentile) (94.3th VA percentile; Z-score +0.29σ across 7,546 documented services) with sub-specialty concentration in 56 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1356303051 highlights 3303 annual claims for 99214 (75.68th Winchester percentile; $64–$88 self-pay corridor) plus 1908 encounters under 99213 and 954 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Douglas Keim in Winchester (22601) face an estimated $209.00 initial evaluation fee at 190 Campus Blvd, Ste 200 (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.73/5 from 10 verified reports).
NPI registry verification (#1356303051) confirms Dr. Douglas Keim's MD standing serving CBSA 22601 with a 4.55/5 patient scorecard.
Compared against Winchester, VA Internal Medicine peers
7,546 annual services across 494 beneficiaries
Standard deviations from VA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 3,303 | 75.68th | $64 – $88 |
| 99213 | Established Preventive & Chronic Care Visit | 1,908 | 77.68th | $49 – $67 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 954 | 72.68th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 734 | 73.68th | $75 – $103 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 440 | 77.68th | $89 – $122 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (56 HCPCS billing breadth) | 207 | 75.68th | $58 – $84 |
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Dr. Douglas Keim, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Keim National Provider Identifier | NPI #1356303051 (MD) | CMS NPPES Registry (22601) |
| Dr. Keim Winchester CMS Volume Rank | 75.68th Pct (7,546 CMS svcs; Z +0.287σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winchester, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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