DR. PAUL A KETTLER M.D.
NPI 1235194598
Internal Medicine in Saint Paul, MN

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
559 CAPITOL BLVD, SAINT PAUL, MN 55103(651) 326-2400(651) 326-2440 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2019, Feb 15, 2018 (2 updates tracked since 2018).

About Dr. Paul A Kettler M.d. NPPES

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

DR. PAUL A KETTLER M.D. (NPI 1235194598) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (38222) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and maintains a secondary practice location in Burnsville.

NPPES Registry Identity

NPI1235194598
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL A KETTLERCredential: M.D.
Location Address559 CAPITOL BLVDSaint Paul, MN 55103-2101
Mailing Address201 E Nicollet BlvdBurnsville, MN 55337-1321 · (952) 892-2117 · Fax (952) 892-2268
Fax(651) 326-2440
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992
Enumeration DateApril 19, 2006
Last NPPES UpdateMay 10, 20192 updates tracked since enumeration
NPI 1235194598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 38222
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

559 CAPITOL BLVD, Saint Paul, MN 55103

Secondary Practice Location 1

Location 1201 E Nicollet BlvdBurnsville, MN 55337-5714 · Phone (952) 892-2117 · Fax (952) 892-2268

Other Identifiers 8

Other08F53KEMN · Bcbs Of Mn
Other4648605MN · Aetna
OtherHP17709MN · Healthpartners
Other0400483MN · Medica
Medicaid042717900MN
Other1008503MN · Preferred One
Other21983MN · America's Ppo
Other111163MN · Ucare

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. Paul A Kettler M.d. 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 ID8325060775
PECOS Enrollment IDI20240821001779
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55103 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier23 claims23 services$46.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$2.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers1,121 claims1,121 services$63.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
6 suppliers681 claims681 services$32.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
6 suppliers296 claims296 services$31.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Internal Medicine
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Physical Therapist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Clinical Nurse Specialist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Psychologist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Internal Medicine
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Social Worker
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Occupational Therapist (Physical Rehabilitation)
559 CAPITOL BLVD
SAINT PAUL, MN 55103

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 Paul Kettler's NPI number?

The NPI number for Paul Kettler is 1235194598. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Paul Kettler located?

Paul Kettler practices at 559 Capitol Blvd, Saint Paul, MN 55103. The listed phone number is (651) 326-2400.

What is Paul Kettler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Kettler enrolled in Medicare?

Yes. Paul Kettler 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 Paul Kettler accept?

Health plans from Medica and Sanford Health Plan list Paul Kettler 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 Paul Kettler affiliated with any hospitals?

According to CMS data, Paul Kettler is affiliated with St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Kettler was last updated on May 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.