Keith David Clancy, M.D.
NPI 1164482303ActiveIndividual· Surgery, Trauma Surgery· Fort Wayne, IN
Surgery, Trauma Surgery (M.D.) in Fort Wayne, Indiana, trained at Creighton University School of Medicine (class of 1992). Medicare paid $35,811 for services to 247 patients in 2024. Baxter Healthcare reported $67.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164482303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 23, 2006 |
| Last updated in NPPES | Sep 23, 2020 |
| Certified by provider | Sep 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | 01079569A | IN |
| Surgery | 208600000X | MD067578-L | PA |
| Surgery | 208600000X | 036.090092 | IL |
| Surgery | 208600000X | 35.123491 | OH |
| Surgery | 208600000X | 01079569A | IN |
| Surgery, Surgical Critical Care | 2086S0102X | MD067578-L | PA |
| Surgery, Surgical Critical Care | 2086S0102X | 35.123491 | OH |
| Surgery, Trauma Surgery | 2086S0127X | 036.090092 | IL |
| Surgery, Trauma Surgery | 2086S0127X | MD067578-L | PA |
| Surgery, Trauma Surgery | 2086S0127X | 35.123491 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 450 across 31 procedure codes |
| Paid by Medicare | $35,811 |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | General Surgery |
Medical group
- Florida Trauma Services LLCOrange Park, FL · 89 clinicians
Hospital affiliations
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
- HCA Florida Lake City HospitalLake City, FL
- HCA Florida Orange Park HospitalOrange Park, FL
Industry payments (Open Payments)
- 2025$67.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Baxter Healthcare | $67.00 | 1 |
What the 2025 payments were for
- Food and Beverage$67.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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