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MARIE KATHLEEN KETCHERSID MD
NPI 1457365124
Internal Medicine in South Boston, VA

Active since July 28, 2006
2232 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-6180(434) 517-6179 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Kathleen Ketchersid Md NPPES

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

MARIE KATHLEEN KETCHERSID MD (NPI 1457365124) is an individual internal medicine provider in South Boston, Virginia, licensed in Virginia (0101054916) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457365124
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIE KATHLEEN KETCHERSIDCredential: MD
Location Address2232 WILBORN AVESouth Boston, VA 24592-1662
Mailing Address2232 Wilborn AveSouth Boston, VA 24592-1662 · (434) 517-6180 · Fax (434) 517-6179
Phone(434) 517-6180
Fax(434) 517-6179
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJanuary 3, 2011
✔ NPI 1457365124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101054916
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.
2232 WILBORN AVE, South Boston, VA 24592
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Other Identifiers 1

Medicare UPING04732

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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
73%231 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,205 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%790 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,284 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,088 patients
Patients tobacco: 98% · 1,088 patients
96%112 patients4/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 790 patients
2%790 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BOYDTON COMMUNITY HEALTH FACILITY INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4378
DAN A WILLIAMS JR.
Emergency Medicine
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3832
BRANDI S THOMPSON NP
Nurse Practitioner (Family)
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977
EDWARD S PURVIS II MD PC
Specialist
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3910
NEIL SCHACHT MD HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA PC
Internal Medicine (Hematology & Oncology)
2232 WILBORN AVE, SUITE D
SOUTH BOSTON, VA 24592
Halifax County (434) 575-1212
THOMAS M. TRUITT, M.D.P.C.
Psychiatry & Neurology (Psychiatry)
2232 WILBORN AVE, SUITE B
SOUTH BOSTON, VA 24592
Halifax County (434) 476-1819
DR. GARETH MURCHISON TITUS M.D
Specialist
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977
JENNIFER N BOHANON
Physician Assistant
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977

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 Marie Ketchersid's NPI number?

The NPI number for Marie Ketchersid is 1457365124. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Marie Ketchersid located?

Marie Ketchersid practices at 2232 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-6180.

What is Marie Ketchersid's specialty?

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

When was this NPI record last updated?

The NPPES record for Marie Ketchersid was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.