DR. KETAN VERMA M.D.
NPI 1437513652
Neurological Surgery in Richmond, VA

Q: What is Ketan Verma's NPI number?

The NPI number for Ketan Verma is 1437513652. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Q: What is Ketan Verma's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Verma was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2016PECOS EnrolledAccepts Medicare Assignment

76.23/100

CMS Quality Rating

417 N 11TH ST, RICHMOND, VA 23298(804) 828-9165(804) 828-0374 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Ketan Verma M.d. NPPES

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

DR. KETAN VERMA M.D. (NPI 1437513652) is an individual neurological surgery provider in Richmond, Virginia, licensed in Virginia (0101277562) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1437513652

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. KETAN VERMACredential: M.D.

Location Address417 N 11TH STRichmond, VA 23298-5024

Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844

Phone(804) 828-9165

Fax(804) 828-0374

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016

Enumeration DateApril 13, 2016

Last NPPES UpdateSeptember 22, 2023

NPPES CertifiedSeptember 22, 2023

✔ NPI 1437513652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in VA · 0101277562

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

417 N 11TH ST, Richmond, VA 23298

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Secondary Practice Locations 4

Location 11250 E Marshall St, 980631Richmond, VA 23298-5051 · Phone (804) 828-2437 · Fax (804) 828-1953

Location 210528 Spotsylvania AveFredericksburg, VA 22408-2710 · Phone (540) 891-3173 · Fax (804) 828-0374

Location 311958 W Broad StHenrico, VA 23233-1007 · Phone (804) 360-4669 · Fax (804) 828-0374

Location 48700 Stony Point PkwyRichmond, VA 23235-1962 · Phone (804) 323-0831 · Fax (804) 828-0374

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Ketan Verma 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 ID4183919863

PECOS Enrollment IDI20231108001230

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 Ketan Verma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcv Associated Physicians

0.1 mi

Anesthesiology

1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298

Reassigned Medicare billing, Virginia enrollment
2,481 clinicians in this Medicare group

NPI 1710959457 (804) 828-8707

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 9

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.

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.

86 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

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.

24 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus 62223

This procedure involves placing a small tube, known as a shunt, from the brain to another part of the body. This helps drain excess fluid that can build up in the brain, reducing pressure and alleviating symptoms. The other end of the shunt can be placed in the abdomen, chest, or other suitable area.

18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490084

Location618 Hospital RoadTappahannock, VA 22560 · Essex County

Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490098

Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County

Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

76.23/100

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

Scored as part of a group practice

Quality

64.58

Promoting Interoperability

100

Improvement Activities

Cost

56.18

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 J. COX AGACNP-BC

Nurse Practitioner (Acute Care)