SARAH L KETCHUM M.D.
NPI 1689781536
Internal Medicine - Hematology & Oncology in South Portland, ME

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
265 WESTERN AVE, SOUTH PORTLAND, ME 04106(207) 661-0200 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah L Ketchum M.d. NPPES

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

SARAH L KETCHUM M.D. (NPI 1689781536) is an individual hematology & oncology provider in South Portland, Maine, licensed in New Hampshire (25618) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in North Conway.

NPPES Registry Identity

NPI1689781536
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSARAH L KETCHUMCredential: M.D.
Location Address265 WESTERN AVESouth Portland, ME 04106-2458
Mailing Address94 Gray StPortland, ME 04102-3847 · (207) 879-3030
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
NPI 1689781536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NH · 25618 Licensed in ME · 017416
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
265 WESTERN AVE, South Portland, ME 04106

Secondary Practice Location 1

Location 13073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (603) 356-4904 · Fax (603) 356-0842

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

Sarah L Ketchum 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 ID648363366
PECOS Enrollment IDI20070911000327
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 5

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.

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.
133 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services37 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.
55 services49 patients
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.
47 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier23 claims1,590 services$0.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier18 claims18 services$18.95 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 7

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

Nurse Practitioner (Acute Care)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Acute Care)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Acute Care)
265 WESTERN AVE
SOUTH PORTLAND, ME 04106

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 Sarah Ketchum's NPI number?

The NPI number for Sarah Ketchum is 1689781536. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Sarah Ketchum located?

Sarah Ketchum practices at 265 Western Ave, South Portland, ME 04106. The listed phone number is (207) 661-0200.

What is Sarah Ketchum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sarah Ketchum enrolled in Medicare?

Yes. Sarah 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 Sarah Ketchum accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sarah 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 Sarah Ketchum affiliated with any hospitals?

According to CMS data, Sarah Ketchum is affiliated with Northern Light Health, Maine Medical Center, Mid Coast Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sarah Ketchum was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.