JOHN MAGNUS KETCHER O.D.
NPI 1740594159
Optometrist in Tyler, TX

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
1424 E FRONT ST, TYLER, TX 75702(903) 595-4144 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2019, Apr 1, 2019, Mar 18, 2019 and 2 more (5 updates tracked since 2017).

About John Magnus Ketcher O.d. NPPES

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

JOHN MAGNUS KETCHER O.D. (NPI 1740594159) is an individual optometrist in Tyler, Texas, licensed in Texas (9394) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1740594159
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN MAGNUS KETCHERCredential: O.D.
Location Address1424 E FRONT STTyler, TX 75702
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2010
Enumeration DateJuly 28, 2010
Last NPPES UpdateMay 17, 20195 updates tracked since enumeration
NPI 1740594159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TX · 9394 Licensed in AZ · 2022 Licensed in VA · 0618002629
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1424 E FRONT ST, Tyler, TX 75702

Secondary Practice Location 1

Location 11424 E Front StTyler, TX 75702 · Phone (903) 595-4144

Other Identifiers 2

Medicaid393764101TX
OtherP02184376TX · Medicare Rail Road

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

John Magnus Ketcher O.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 ID1759565641
PECOS Enrollment IDI20190211000516
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 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.
185 services133 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
164 services164 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
128 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
65 services57 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services26 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 4

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

Optometrist
1424 E FRONT ST, DEHAVEN EYE CLINIC, PA
TYLER, TX 75702
Ophthalmology
1424 E FRONT ST
TYLER, TX 75702
Ophthalmology
1424 E FRONT ST
TYLER, TX 75702
Nurse Anesthetist, Certified Registered
1424 E FRONT ST
TYLER, TX 75702

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 John Ketcher's NPI number?

The NPI number for John Ketcher is 1740594159. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is John Ketcher located?

John Ketcher practices at 1424 E Front St, Tyler, TX 75702. The listed phone number is (903) 595-4144.

What is John Ketcher's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Ketcher enrolled in Medicare?

Yes. John Ketcher 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 John Ketcher accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list John Ketcher 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 John Ketcher affiliated with any hospitals?

According to CMS data, John Ketcher is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for John Ketcher was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.