DR. JAMES W KETCHUM MD
NPI 1386610376
Internal Medicine in Ballwin, MO
About Dr. James W Ketchum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES W KETCHUM MD (NPI 1386610376) is an individual internal medicine provider in Ballwin, Missouri, licensed in Missouri (R8D28) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Southern Illinois University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
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. James W Ketchum Md 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.
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOMercy Hospital Washington
Acute Care Hospitals · Washington, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOSt Lukes Hospital
Acute Care Hospitals · Chesterfield, MOMercy Hospital Lincoln
Critical Access Hospitals · Troy, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63011 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 10
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.
BALLWIN, MO 63011
BALLWIN, MO 63011
BALLWIN, MO 63011
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 James Ketchum's NPI number?
The NPI number for James Ketchum is 1386610376. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is James Ketchum located?
James Ketchum practices at 15945 Clayton Rd Suite 310, Ballwin, MO 63011. The listed phone number is (636) 256-5350.
What is James Ketchum's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Ketchum enrolled in Medicare?
Yes. James 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 James Ketchum accept?
Health plans from Medica and UnitedHealthcare list James 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 James Ketchum affiliated with any hospitals?
According to CMS data, James Ketchum is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington, Mercy Hospital South, St Lukes Hospital and Mercy Hospital Lincoln.
When was this NPI record last updated?
The NPPES record for James Ketchum was last updated on October 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
