ELIZABETH ANN KETNER M.H.S., MD
NPI 1396047908
Internal Medicine in Gallup, NM

Q: What is Elizabeth Ketner's NPI number?

The NPI number for Elizabeth Ketner is 1396047908. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Q: What is Elizabeth Ketner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Ketner was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 02, 2010PECOS EnrolledAccepts Medicare Assignment

73.12/100

CMS Quality Rating

516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1341 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Elizabeth Ann Ketner M.h.s., Md NPPES

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

ELIZABETH ANN KETNER M.H.S., MD (NPI 1396047908) is an individual internal medicine provider in Gallup, New Mexico, licensed in Pennsylvania (MD452066) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2012).

NPPES Registry Identity

NPI1396047908

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELIZABETH ANN KETNERCredential: M.H.S., MD

Location Address516 E NIZHONI BLVDGallup, NM 87301-5748

Mailing Address516 E Nizhoni BlvdGallup, NM 87301-5748 · (505) 722-1341

Phone(505) 722-1341

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2012

Enumeration DateDecember 2, 2010

Last NPPES UpdateApril 20, 2016

✔ NPI 1396047908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in PA · MD452066✔ Licensed in PA · MT201911

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

516 E NIZHONI BLVD, Gallup, NM 87301

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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

Elizabeth Ann Ketner M.h.s., 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.

PECOS PAC ID4183934912

PECOS Enrollment IDI20151107000092

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

173 services89 patients

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.

42 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services11 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM

2/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number320061

Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County

Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321308

Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County

Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321313

Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

73.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.63

Improvement Activities

Cost

49.43

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$55.79 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers42 claims42 services$19.23 avg. paid by Medicare

Trapeze bar, free standing, complete with grab bar E0940

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$13.64 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

4 suppliers46 claims46 services$107.79 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$26.86 avg. paid by Medicare

High strength, lightweight wheelchair K0004

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$34.99 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.

JENNIFER MARIE MOORE RN, BSN

Registered Nurse (Medical-Surgical)