MR. CAREY WAYNE KETCHUM MD
NPI 1518934140
Internal Medicine in Forestdale, AL

NPI Status: Active since March 02, 2006

Contact Information

1664 FORESTDALE BLVD
AMERICAN FAMILY CARE INC FORESTDALE CLINIC
FORESTDALE, AL
ZIP 35214
Phone: (205) 791-2273
Fax: (205) 791-9753

Get Directions Reviews

  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled

About CAREY KETCHUM

Carey Ketchum is an internist established in Forestdale, Alabama and his medical specialization is Internal Medicine. The healthcare provider is registered in the NPI registry with number 1518934140 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 10232 (AL). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1518934140
Provider Name
MR. CAREY WAYNE KETCHUM MD
Other Name
CAREY W KETCHUM MD
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
1664 FORESTDALE BLVD AMERICAN FAMILY CARE INC FORESTDALE CLINIC FORESTDALE, AL 35214
Location Phone
(205) 791-2273
Location Fax
(205) 791-9753
Mailing Address
2147 RIVERCHASE OFFICE RD BIRMINGHAM, AL 35244
Mailing Phone
(205) 403-8902
Mailing Fax
(205) 791-9753
Is Sole Proprietor?
Yes
Enumeration Date
03-02-2006
Last Update Date
07-08-2007
Code Navigator

An internist like Carey Ketchum 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.

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.
10232
License State
AL
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:

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield

  • Railroad Medicare


*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
C73568MEDICARE UPIN (02) 
51590263OTHER (01)ALBLUE CROSS BLUE SHIELD
P00155440OTHER (01)ALRAILROAD MEDICARE

PECOS Enrollment and Medicare Participation Status

Carey Ketchum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35214 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.05
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $32.26
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.33
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $24.83
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518934140
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528183818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 8 + 3 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518934140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962159210 SONJA DIONE CRAIG CRNP FNP-BC
Individual
Nurse Practitioner (Family)1664 FORESTDALE BLVD
FORESTDALE, AL 35214
(205) 514-5946
1538262985AMERICAN FAMILY CARE, LLC
Organization
Clinic/Center (Primary Care)1664 FORESTDALE BLVD
FORESTDALE, AL 35214
(205) 791-2273
1891908968AMERICAN FAMILY CARE, LLC
Organization
Clinic/Center (Primary Care)1664 FORESTDALE BLVD
FORESTDALE, AL 35214
(205) 791-2273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518934140, enumerated in the NPI registry as an "individual" on March 02, 2006

The provider is located at 1664 Forestdale Blvd American Family Care Inc Forestdale Clinic Forestdale, Al 35214 and the phone number is (205) 791-2273

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $129.05 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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