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EMILY KETCH OD
NPI 1376476028
Optometrist in Brewer, ME

Active since June 03, 2026PECOS Enrolled
15 DIRIGO DR, BREWER, ME 04412(207) 945-5891 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emily Ketch Od NPPES

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

EMILY KETCH OD (NPI 1376476028) is an individual optometrist in Brewer, Maine, licensed in Maine (OPT1117) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2026).

NPPES Registry Identity

NPI1376476028
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameEMILY KETCHCredential: OD
Location Address15 DIRIGO DRBrewer, ME 04412-1600
Mailing Address15 Dirigo DrBrewer, ME 04412-1600
Phone(207) 945-5891
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2026
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1376476028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT1117
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
15 DIRIGO DR, Brewer, ME 04412
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ketch Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133686348
PECOS Enrollment IDI20260807000910
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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Ketch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sjv, PLLC
3.8 mi
Optometrist
766 STILLWATER AVE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 3 clinicians in this Medicare group
NPI 1689366734 (207) 570-0793

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04412 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTERN MAINE EMERGENCY VETERINARY CLINIC
General Acute Care Hospital
15 DIRIGO DR
BREWER, ME 04412
Penobscot County (207) 989-6267

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 Emily Ketch's NPI number?

The NPI number for Emily Ketch is 1376476028. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Emily Ketch located?

Emily Ketch practices at 15 Dirigo Dr, Brewer, ME 04412. The listed phone number is (207) 945-5891.

What is Emily Ketch's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Emily Ketch enrolled in Medicare?

Yes. Emily Ketch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Ketch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ketch reassigns Medicare benefits to Sjv, PLLC (Bangor, ME). The 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 Emily Ketch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Ketch accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Providence Health Plan list Emily Ketch 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.

When was this NPI record last updated?

The NPPES record for Emily Ketch was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.