THOMAS KETTLEWELL
NPI 1457896185
Internal Medicine in Saint Clairsville, OH

Active since January 04, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
302 W MAIN ST, SAINT CLAIRSVILLE, OH 43950(740) 232-6210 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2022, Feb 15, 2022, Jan 10, 2021 and 1 more (4 updates tracked since 2017).

About Thomas Kettlewell NPPES

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

THOMAS KETTLEWELL (NPI 1457896185) is an individual internal medicine provider in Saint Clairsville, Ohio, licensed in West Virginia (ED0642A) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457896185
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS KETTLEWELL
Location Address302 W MAIN STSaint Clairsville, OH 43950-8801
Mailing Address2000 Eoff StWheeling, WV 26003-3823
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateJanuary 4, 2017
Last NPPES UpdateApril 21, 20224 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1457896185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WV · ED0642A Licensed in OH · 50.007974
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.

302 W MAIN ST, Saint Clairsville, OH 43950

Secondary Practice Locations 2

Location 1426 8th St Ste 301Glen Dale, WV 26038-1451 · Phone (304) 221-4575
Location 2800 Wheeling AveGlen Dale, WV 26038-1660 · Phone (304) 845-3211

Accepted Insurance

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

Thomas Kettlewell 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 ID2769768506
PECOS Enrollment IDI20200506001512
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 12

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.
120 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services44 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.
73 services51 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.
41 services41 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.
40 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers42 claims42 services$15.52 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
1 supplier38 claims38 services$86.14 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers11 claims1,320 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers12 claims12 services$26.07 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.

Nurse Practitioner (Family)
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Case Manager/Care Coordinator
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Registered Nurse
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Nurse Practitioner (Family)
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Social Worker
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Case Manager/Care Coordinator
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Counselor (Professional)
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950
Case Manager/Care Coordinator
302 W MAIN ST
SAINT CLAIRSVILLE, OH 43950

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 Thomas Kettlewell's NPI number?

The NPI number for Thomas Kettlewell is 1457896185. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Thomas Kettlewell located?

Thomas Kettlewell practices at 302 W Main St, Saint Clairsville, OH 43950. The listed phone number is (740) 232-6210.

What is Thomas Kettlewell's specialty?

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

Is Thomas Kettlewell enrolled in Medicare?

Yes. Thomas Kettlewell 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.

What insurance does Thomas Kettlewell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Thomas Kettlewell 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 Thomas Kettlewell affiliated with any hospitals?

According to CMS data, Thomas Kettlewell is affiliated with Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Kettlewell was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.