DR. ANNE H KETTLER M.D.
NPI 1659368967
Dermatology in Stanley, KS

Active since October 03, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 17D1103338 · Microscopy
93.01/100
CMS Quality Rating
15101 GLENWOOD AVE, STANLEY, KS 66223(913) 681-8866(913) 338-1311 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anne H Kettler M.d. NPPES

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

DR. ANNE H KETTLER M.D. (NPI 1659368967) is an individual dermatology provider in Stanley, Kansas, licensed in Kansas (0422213) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 3, 2027, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1983).

NPPES Registry Identity

NPI1659368967
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANNE H KETTLERCredential: M.D.
Location Address15101 GLENWOOD AVEStanley, KS 66223-3154
Mailing AddressPo Box 741331Atlanta, GA 30374-1331 · (913) 469-0503 · Fax (913) 469-5267
Fax(913) 338-1311
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1983
Enumeration DateOctober 3, 2005
Last NPPES UpdateFebruary 11, 2022
NPI 1659368967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in KS · 0422213
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
15101 GLENWOOD AVE, Stanley, KS 66223

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

Dr. Anne H Kettler M.d. 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 ID345399473
PECOS Enrollment IDI20090520000637
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D1103338

Anne Kettler MD College Park Family Care · Overland Park, KS
Active · expires Jul 3, 2027
CLIA Number17D1103338
Laboratory TypePhysician Office
Certificate Effective DateJuly 4, 2025
Certificate Expiration DateJuly 3, 2027
Laboratory DirectorDr. Anne H. Kettler
Laboratory Phone(913) 681-8866
Laboratory LocationAnne Kettler MD College Park Family Care15101 Glenwood, Overland Park, KS 66223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,527 services262 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
395 services297 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.
208 services160 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.
204 services162 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
115 services101 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66223 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

93.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.77
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
60%410 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
40%347 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
71%899 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
81%260 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%74 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,801 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%201 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 678 patients
Patients totalRate: 0% · 678 patients
0%678 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Physician Assistant
15101 GLENWOOD AVE
STANLEY, KS 66223
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Physician Assistant
15101 GLENWOOD AVE
OVERLAND PARK, KS 66223
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Dietitian, Registered
15101 GLENWOOD AVE
STANLEY, KS 66223
Nurse Practitioner
15101 GLENWOOD AVE
STANLEY, KS 66223

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 Anne Kettler's NPI number?

The NPI number for Anne Kettler is 1659368967. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Anne Kettler located?

Anne Kettler practices at 15101 Glenwood Ave, Stanley, KS 66223. The listed phone number is (913) 681-8866.

What is Anne Kettler's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anne Kettler enrolled in Medicare?

Yes. Anne Kettler 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.

Does Anne Kettler hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 17D1103338) is associated with this NPI, valid through July 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anne Kettler accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Anne Kettler 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.

When was this NPI record last updated?

The NPPES record for Anne Kettler was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.