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Keith Tom DO in Shelby Township, Michigan

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Keith Tom DO has Family Practice as his primary medical specialty. Their primary office is: 49221 Van Dyke Ave in Shelby Township, Michigan. They attended Michigan State University College Of Osteopathic Medicine and graduated in 1985 (around 39 years of experience). They are listed as doing telehealth appointments.


Keith Brian Tom DO Office Phone and Directions

Keith Tom DO
49221 Van Dyke Ave
Shelby Township, Michigan 48317
586-254-4860


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Phone: 586-254-4860


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Healthcare Info for Keith Tom DO

Medical School: Michigan State University College Of Osteopathic Medicine
Graduation Year: 1985
The Primary Medical Specialty for Keith Tom DO is listed as: Family Practice
Credentials: DO
Additional Credentials:
Approximate Years of Experience: 39
PAC (PECOS ID)#: 1052378676
NPI #: 1609850130
NPI Created On: 11/29/2005
NPI Last Updated Listed as: 10/25/2007
Primary Taxonomy Code: 207Q00000X
License Number:
5101008999
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • McLaren Health Plan Community
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Insertion of needle into vein for collection of blood sample
  2. Manual urinalysis test with examination using microscope
  3. Urinalysis, manual test
  4. Vaccine for influenza for administration into muscle, 0.5 ml dosage
  5. Routine ekg using at least 12 leads including interpretation and report
  6. Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration
  7. Established patient office or other outpatient visit, typically 10 minutes
  8. Established patient office or other outpatient visit, typically 15 minutes
  9. Established patient office or other outpatient, visit typically 25 minutes
  10. Administration of influenza virus vaccine
  11. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $24

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160791

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $9

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160789

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $11

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160793

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $10

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160795

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $26

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160797

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $11

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160799

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160801

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $3

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160803

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160805

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796160807

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


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