KATHLEEN ANNE KETCHUM PA
NPI 1487996849
Physician Assistant in Columbia, MO

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
84.75/100
CMS Quality Rating
1 S KEENE ST, COLUMBIA, MO 65201(573) 443-2402(573) 443-0574 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Anne Ketchum Pa NPPES

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

KATHLEEN ANNE KETCHUM PA (NPI 1487996849) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (2013005293) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487996849
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ANNE KETCHUMCredential: PA
Location Address1 S KEENE STColumbia, MO 65201-7199
Mailing Address1 S Keene StColumbia, MO 65201-7199 · (573) 443-2402 · Fax (573) 443-0574
Fax(573) 443-0574
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 25, 2013
Last NPPES UpdateMay 9, 2014
NPI 1487996849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2013005293
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 S KEENE ST, Columbia, MO 65201

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

Kathleen Anne Ketchum Pa 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 ID1658518006
PECOS Enrollment IDI20130502000524
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 16

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,728 services27 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
1,104 services26 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
738 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
184 services133 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
135 services126 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
104 services95 patients

Hospital Affiliations CMS Care Compare 3

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

84.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability85
Improvement Activities40
Cost76.68

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.

Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Orthopaedic Surgery
1 S KEENE ST
COLUMBIA, MO 65201
Pharmacist
1 S KEENE ST
COLUMBIA, MO 65201
Family Medicine (Sports Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Physician Assistant
1 S KEENE ST
COLUMBIA, MO 65201
Specialist/Technologist (Athletic Trainer)
1 S KEENE ST, COLUMBIA ORTHOPEDIC GROUP
COLUMBIA, MO 65201
Pain Medicine (Interventional Pain Medicine)
1 S KEENE ST
COLUMBIA, MO 65201
Nurse Practitioner (Family)
1 S KEENE ST
COLUMBIA, MO 65201

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 Kathleen Ketchum's NPI number?

The NPI number for Kathleen Ketchum is 1487996849. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Kathleen Ketchum located?

Kathleen Ketchum practices at 1 S Keene St, Columbia, MO 65201. The listed phone number is (573) 443-2402.

What is Kathleen Ketchum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathleen Ketchum enrolled in Medicare?

Yes. Kathleen Ketchum 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 Kathleen Ketchum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Kathleen Ketchum 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 Kathleen Ketchum affiliated with any hospitals?

According to CMS data, Kathleen Ketchum is affiliated with Boone Hospital Center, University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Kathleen Ketchum was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.