DR. WILLIAM ALEXANDER KETCHUM MD
NPI 1063917631
Surgery in Tacoma, WA

Q: What is William Ketchum's NPI number?

The NPI number for William Ketchum is 1063917631. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is William Ketchum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for William Ketchum was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment

9040 JACKSON AVENUE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2024, Mar 27, 2018 (2 updates tracked since 2018).

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About Dr. William Alexander Ketchum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM ALEXANDER KETCHUM MD (NPI 1063917631) is an individual surgery provider in Tacoma, Washington, licensed in Virginia (0101276325) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2018).

NPPES Registry Identity

NPI1063917631

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. WILLIAM ALEXANDER KETCHUMCredential: MD

Location Address9040 JACKSON AVENUETacoma, WA 98431-0001

Mailing Address9040 Jackson AvenueTacoma, WA 98431-0001 · (786) 973-7400

Phone(253) 968-2252

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2018

Enumeration DateMarch 27, 2018

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1063917631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101276325✔ Licensed in WA · MD61586721

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9040 JACKSON AVENUE, Tacoma, WA 98431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Alexander Ketchum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294232765

PECOS Enrollment IDI20251009002925

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY MICHAEL BARRY RN

Registered Nurse

9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-2235

DANIEL G NG PHARMD

Pharmacist

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

MS. SUSAN EACCARINO LCSW

Social Worker (Clinical)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2252

DR. TAHERA ARSHAD

Internal Medicine

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2462

PAMELA FINDER PSY.D.

Psychologist (Clinical)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

CAITLIN BETTGER MD

Internal Medicine (Infectious Disease)

9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431

Pierce County (210) 916-5910

LUKE BOUCHER MD

Internal Medicine (Pulmonary Disease)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

MISS EILEEN C GONZALEZ LEGG LCSW

Social Worker (Clinical)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Ketchum's NPI number?

The NPI number for William Ketchum is 1063917631. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is William Ketchum located?

William Ketchum practices at 9040 Jackson Avenue, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is William Ketchum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Ketchum enrolled in Medicare?

Yes. William Ketchum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Ketchum accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list William Ketchum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Ketchum affiliated with any hospitals?

According to CMS data, William Ketchum is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for William Ketchum was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.