ROBERT S KETCHUM PA-C
NPI 1578702197
Physician Assistant in Portsmouth, NH

Active since February 05, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
330 BORTHWICK AVE STE 311, PORTSMOUTH, NH 03801(603) 692-2228(603) 692-4748 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert S Ketchum Pa-c NPPES

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

ROBERT S KETCHUM PA-C (NPI 1578702197) is an individual physician assistant in Portsmouth, New Hampshire, licensed in New Hampshire (2194) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578702197
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT S KETCHUMCredential: PA-C
Location Address330 BORTHWICK AVE STE 311Portsmouth, NH 03801-7112
Mailing Address21 Clark WaySomersworth, NH 03878-4401 · (603) 692-2228 · Fax (603) 692-4748
Fax(603) 692-4748
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 5, 2009
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1578702197 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 NH · 2194
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.

330 BORTHWICK AVE STE 311, Portsmouth, NH 03801

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

Robert S Ketchum Pa-c 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 ID2466501739
PECOS Enrollment IDI20240531001644
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
272 services107 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services86 patients
Initial hospital inpatient care per day, typically 50 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.
34 services32 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services18 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Physician Assistant (Medical)
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Internal Medicine (Gastroenterology)
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Physician Assistant
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Physician Assistant (Medical)
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Internal Medicine (Gastroenterology)
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801
Nurse Practitioner (Family)
330 BORTHWICK AVE STE 311
PORTSMOUTH, NH 03801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578702197, enumerated as an "individual" on February 05, 2009.

The provider is located at 330 BORTHWICK AVE STE 311 PORTSMOUTH, NH 03801 and the phone number is (603) 692-2228.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Robert Ketchum is affiliated with: YORK HOSPITAL, EXETER HOSPITAL INC and PORTSMOUTH REGIONAL HOSPITAL.