DR. TOM KETTLER M.D.
NPI 1285621615
Family Medicine in Stanley, KS
About Dr. Tom Kettler M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOM KETTLER M.D. (NPI 1285621615) is an individual family medicine provider in Stanley, Kansas, licensed in Kansas (0421569) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tom 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tom Kettler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Overland Park, KS 66210
- Reassigned Medicare billing, Kansas enrollment
- 84 clinicians in this Medicare group
Kansas City, MO 64128
- Reassigned Medicare billing, Missouri enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSOverland Park Reg Med Ctr
Acute Care Hospitals · Overland Park, KSSaint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Tom Kettler's NPI number?
The NPI number for Tom Kettler is 1285621615. It was assigned to this individual provider in the NPPES registry on September 30, 2005.
Where is Tom Kettler located?
Tom Kettler practices at 15101 Glenwood Ave, Stanley, KS 66223. The listed phone number is (913) 681-8866.
What is Tom Kettler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tom Kettler enrolled in Medicare?
Yes. Tom 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.
Which organizations bill Medicare for Tom Kettler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Kettler reassigns Medicare benefits to 2 organizations: Overland Park Surgical Specialties LLC (Overland Park, KS) and Hope Family Care Center,llc (Kansas City, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tom Kettler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tom Kettler accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Tom 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 Tom Kettler affiliated with any hospitals?
According to CMS data, Tom Kettler is affiliated with University Of Kansas Hospital, Overland Park Reg Med Ctr and Saint Luke's South Hospital.
When was this NPI record last updated?
The NPPES record for Tom Kettler was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Tom Kettler, M.D. · NPI 1285621615
Family Medicine physician in Stanley, Kansas. Individual provider, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1285621615 (Entity type: Individual)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0421569 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 15101 GLENWOOD AVE, Stanley, KS 66223-3154
- **Phone:** (913) 681-8866 · **Fax:** (913) 338-1311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Overland Park Surgical Specialties LLC (NPI 1760798540, Overland Park, KS); Hope Family Care Center,llc (NPI 1285878793, Kansas City, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1985
## Record status
- **NPPES last updated:** February 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285621615) · Data from the CMS NPPES public registry.