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

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: July 26, 2026.

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

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, maintains 2 additional practice locations, 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
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

Secondary Practice Locations 2

Location 11802 Yakima Ave Ste 104Tacoma, WA 98405-5303 · Phone (253) 426-6272 · Fax (253) 426-4060
Location 24494 North Palmer RoadBethesda, MD 20889-0001 · Phone (786) 973-7400

Accepted 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.

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.

Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pharmacist
9040 JACKSON AVENUE
TACOMA, WA 98431
Social Worker (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Internal Medicine
9040 JACKSON AVENUE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Internal Medicine (Infectious Disease)
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431
Social Worker (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Social Worker (Clinical)
9040 JACKSON AVENUE, BLDG 9905
TACOMA, WA 98431

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.

When was this NPI record last updated?

The NPPES record for William Ketchum was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.