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DR. DAVID SCOTT KETNER JR. M.D.
NPI 1407022015
Ophthalmology in Bronx, NY

Active since May 03, 2008PECOS EnrolledAccepts Medicare Assignment
1276 FULTON AVE RM 208, BRONX, NY 10456(171) 890-1891(718) 901-8918 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Aug 11, 2017 (2 updates tracked since 2017).

About Dr. David Scott Ketner Jr. M.d. NPPES

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

DR. DAVID SCOTT KETNER JR. M.D. (NPI 1407022015) is an individual ophthalmology provider in Bronx, New York, licensed in New York (254818) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Bronxcare Hospital Center, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1407022015
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID SCOTT KETNER JR.Credential: M.D.
Location Address1276 FULTON AVE RM 208Bronx, NY 10456-3402
Mailing Address1276 Fulton Ave Ste 3dBronx, NY 10456-3402
Phone(171) 890-1891
Fax(718) 901-8918
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 3, 2008
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1407022015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 254818
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 254818 (NY)
1276 FULTON AVE RM 208, Bronx, NY 10456
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Secondary Practice Location 1

Location 140 Temple St, Suite 3DNew Haven, CT 06510-2715 · Phone (203) 785-2020 · Fax (203) 785-7090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.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. David Scott Ketner Jr. 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.

PECOS PAC ID3779710686
PECOS Enrollment IDI20131223001005
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 Reassignments

2

Medicare enrollment records show David Ketner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronxcare Health System
Same address
Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1073806519 (718) 901-8920
Sbh Physicians, PC
1.6 mi
Pediatrics
4422 THIRD AVENUE, BRAKER BUILDING
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 256 clinicians in this Medicare group
NPI 1457665937 (718) 960-9000

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 3

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
63 services38 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
31 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Bronxcare Hospital Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330009
Location1276 Fulton AvenueBronx, NY 10456 · Bronx County
Emergency services Birthing friendly

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 10

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

JENNIFER DUNBAR LMSW
Social Worker
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (171) 890-1891
MARIA DIDAMO LMSW
Social Worker
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (718) 901-8918
DANIELLE CARDINALI
Speech-Language Pathologist
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (171) 890-1891
DR. TANYA ORIE ROGO M.D.
Pediatrics (Pediatric Infectious Diseases)
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (171) 890-1891
TIMOTHY J VITTORIO M.D.
Internal Medicine (Cardiovascular Disease)
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (171) 890-1891
NINGKUN LI
Dentist (Periodontics)
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (718) 901-8918
MISS DORCAS COLON LMSW
Social Worker
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (718) 901-8918
BETHANY ANNE ALTSCHWAGER LCAT
Counselor
1276 FULTON AVE RM 208
BRONX, NY 10456
Bronx County (718) 901-8918

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 David Ketner's NPI number?

The NPI number for David Ketner is 1407022015. It was assigned to this individual provider in the NPPES registry on May 3, 2008.

Where is David Ketner located?

David Ketner practices at 1276 Fulton Ave Rm 208, Bronx, NY 10456. The listed phone number is (171) 890-1891.

What is David Ketner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Ketner enrolled in Medicare?

Yes. David Ketner 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 David Ketner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ketner reassigns Medicare benefits to 2 organizations: Bronxcare Health System (Bronx, NY) and Sbh Physicians, PC (Bronx, NY). 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 David Ketner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Ketner accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list David Ketner 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 David Ketner affiliated with any hospitals?

According to CMS data, David Ketner is affiliated with Bronxcare Hospital Center and St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for David Ketner was last updated on March 31, 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.