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

NPI Status: Active since July 28, 2006

Contact Information

2232 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-6180
Fax: (434) 517-6179

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  • Individual
  • Female
  • Internal Medicine
  • Medicare Quality Reporting

About MARIE KETCHERSID

This page provides the complete NPI Profile along with additional information for Marie Ketchersid, an internist established in South Boston, Virginia with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1457365124 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 0101054916 (VA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1457365124
Provider Name
MARIE KATHLEEN KETCHERSID MD
Gender
Female
Entity Type
Individual
Location Address
2232 WILBORN AVE SOUTH BOSTON, VA 24592
Location Phone
(434) 517-6180
Location Fax
(434) 517-6179
Mailing Address
2232 WILBORN AVE SOUTH BOSTON, VA 24592
Mailing Phone
(434) 517-6180
Mailing Fax
(434) 517-6179
Is Sole Proprietor?
No
Enumeration Date
07-28-2006
Last Update Date
01-03-2011
Code Navigator

An internist like Marie Ketchersid is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101054916
License State
VA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G04732MEDICARE UPIN (02) 

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Diabetes: Foot Exam 73% 231
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
Documentation of Current Medications in the Medical Record 100% 2205
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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Pneumococcal Vaccination Status for Older Adults 82% 790
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98% 1284
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96% 112
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
Use of High-Risk Medications in the Elderly 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
790
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. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457365124, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 6 + 6 + 1 + 0 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457365124.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Internal Medicine
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Emergency Medicine
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Internal Medicine (Hematology & Oncology)
2232 WILBORN AVE, SUITE D
SOUTH BOSTON, VA 24592
Clinic/Center (Federally Qualified Health Center (FQHC))
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Legal Medicine
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Clinic/Center
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Specialist
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Specialist
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Legal Medicine
2232 WILBORN AVE, SUITE C
SOUTH BOSTON, VA 24592
Internal Medicine (Hematology & Oncology)
2232 WILBORN AVE, SUITE D
SOUTH BOSTON, VA 24592
Specialist
2232 WILBORN AVE, SUITE F
SOUTH BOSTON, VA 24592
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2232 WILBORN AVE, STE B
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Surgery
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Internal Medicine (Cardiovascular Disease)
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Psychiatry & Neurology (Psychiatry)
2232 WILBORN AVE, SUITE B
SOUTH BOSTON, VA 24592

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457365124, enumerated as an "individual" on July 28, 2006.

The provider is located at 2232 WILBORN AVE SOUTH BOSTON, VA 24592 and the phone number is (434) 517-6180.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.