1. Home
  2. Directory
  3. Iowa
  4. Davenport
  5. Radiology
  6. NPI Profile

MATTHEW A KETELAAR MD
NPI 1336109180
Radiology - Diagnostic Radiology in Davenport, IA

Active since March 24, 2006PECOS Enrolled
94.04/100
CMS Quality Rating
1970 E 53RD ST, DAVENPORT, IA 52807(563) 359-3949 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Apr 12, 2021 (2 updates tracked since 2021).

About Matthew A Ketelaar Md NPPES

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

MATTHEW A KETELAAR MD (NPI 1336109180) is an individual diagnostic radiology provider in Davenport, Iowa, licensed in Iowa (28007) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336109180
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMATTHEW A KETELAARCredential: MD
Location Address1970 E 53RD STDavenport, IA 52807-2710
Mailing Address1970 E 53rd StDavenport, IA 52807-2710 · (563) 359-3949
Phone(563) 359-3949
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1336109180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IA · 28007
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1970 E 53RD ST, Davenport, IA 52807
Open in Google Maps ↗

Other Identifiers 6

Other06050Bcbs Ia Rgic Llc
Medicaid5096792IA
Other300034141Rr Mdc Rgpcsc
Other32281Bcbs Ia Rgpcsc
Medicaid2096792IA
Other300132302Rr Mdc Rgic Llc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew A Ketelaar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 52807 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.99
Improvement Activities40

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.

RADIOLOGY GROUP PC SC
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 421-5643
JOHN W ROGERS MD
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
SAMI FARUQUI MD
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
JASON BENJAMIN MUELLER M.D.
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
ANDREW E BERKOW M.D.
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
ROBERT W HARTUNG MD
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
JOSEPH M PHELAN MD
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949
SIMMI FAIN M. D.
Radiology (Diagnostic Radiology)
1970 E 53RD ST
DAVENPORT, IA 52807
Scott County (563) 359-3949

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 Matthew Ketelaar's NPI number?

The NPI number for Matthew Ketelaar is 1336109180. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Matthew Ketelaar located?

Matthew Ketelaar practices at 1970 E 53rd St, Davenport, IA 52807. The listed phone number is (563) 359-3949.

What is Matthew Ketelaar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Ketelaar enrolled in Medicare?

Yes. Matthew Ketelaar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Ketelaar was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.