LLOYD HOWARD KETCHUM
NPI 1164465191
Internal Medicine - Hematology in Duluth, MN

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-3625 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lloyd Howard Ketchum NPPES

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

LLOYD HOWARD KETCHUM (NPI 1164465191) is an individual hematology provider in Duluth, Minnesota, licensed in Minnesota (48933) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1164465191
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameLLOYD HOWARD KETCHUM
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 12, 2011
NPI 1164465191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Licenses Licensed in MN · 48933 Licensed in WI · 49571-20
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 48933 (MN), 49571-20 (WI)
400 E 3RD ST, Duluth, MN 55805

Other Identifiers 3

Medicaid34880100WI
Medicare PIN830000469MN
Medicaid985908000MN

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

Lloyd Howard Ketchum 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 ID1153324488
PECOS Enrollment IDI20060807000151, I20240405001037
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
205 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805

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 Lloyd Ketchum's NPI number?

The NPI number for Lloyd Ketchum is 1164465191. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Lloyd Ketchum located?

Lloyd Ketchum practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-3625.

What is Lloyd Ketchum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Lloyd Ketchum enrolled in Medicare?

Yes. Lloyd 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 Lloyd Ketchum accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Lloyd 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 Lloyd Ketchum affiliated with any hospitals?

According to CMS data, Lloyd Ketchum is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Lloyd Ketchum was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.