1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Podiatrist
  6. NPI Profile

DR. LARRY K KETCHERSIDE DPM
NPI 1083907471
Podiatrist in Louisville, KY

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2525 BARDSTOWN RD STE 110, LOUISVILLE, KY 40205(502) 458-8989(502) 451-5439 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry K Ketcherside Dpm NPPES

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

DR. LARRY K KETCHERSIDE DPM (NPI 1083907471) is an individual podiatrist in Louisville, Kentucky, licensed in Kentucky (00358) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in St Petersburg, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083907471
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. LARRY K KETCHERSIDECredential: DPM
Location Address2525 BARDSTOWN RD STE 110Louisville, KY 40205-2699
Mailing Address9110 Leesgate RdLouisville, KY 40222-5053 · (502) 426-7222 · Fax (502) 425-8226
Phone(502) 458-8989
Fax(502) 451-5439
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 18, 2011
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1083907471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in KY · 00358
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2525 BARDSTOWN RD STE 110, Louisville, KY 40205
Open in Google Maps ↗

Secondary Practice Location 1

Location 16707 38th Ave NSt Petersburg, FL 33710-1536 · Phone (727) 800-9958 ext. 303 · Fax (855) 552-3776

Other Identifiers 1

Medicaid7100165100KY

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. Larry K Ketcherside Dpm 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 ID3678741717
PECOS Enrollment IDI20110715000645
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,862 services1,242 patients
Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341
A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.
183 services183 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
125 services115 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
108 services51 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
68 services62 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
68 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Larry Ketcherside's NPI number?

The NPI number for Larry Ketcherside is 1083907471. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Larry Ketcherside located?

Larry Ketcherside practices at 2525 Bardstown Rd Ste 110, Louisville, KY 40205. The listed phone number is (502) 458-8989.

What is Larry Ketcherside's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Larry Ketcherside enrolled in Medicare?

Yes. Larry Ketcherside 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.

When was this NPI record last updated?

The NPPES record for Larry Ketcherside was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.