SAMUEL JAMES KETTINGER DPM
NPI 1740841071
Podiatrist - Foot & Ankle Surgery in Altamonte Springs, FL

Q: What is Samuel Kettinger's NPI number?

The NPI number for Samuel Kettinger is 1740841071. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Samuel Kettinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kettinger was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment

450 W CENTRAL PKWY STE 1000, ALTAMONTE SPRINGS, FL 32714(321) 397-2699(407) 926-0500 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Samuel James Kettinger Dpm NPPES

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

SAMUEL JAMES KETTINGER DPM (NPI 1740841071) is an individual foot & ankle surgery provider in Altamonte Springs, Florida, licensed in Florida (PO4304) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740841071

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameSAMUEL JAMES KETTINGERCredential: DPM

Location Address450 W CENTRAL PKWY STE 1000Altamonte Springs, FL 32714-2433

Mailing Address450 W Central Pkwy Ste 1000Altamonte Springs, FL 32714-2433 · (321) 397-2699 · Fax (407) 926-0500

Phone(321) 397-2699

Fax(407) 926-0500

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 26, 2019

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1740841071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO4304

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

450 W CENTRAL PKWY STE 1000, Altamonte Springs, FL 32714

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel James Kettinger Dpm 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 ID7416336011

PECOS Enrollment IDI20240626003656

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Kettinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthdrive Podiatry Group, PC

794 mi

Podiatrist

655 METRO PL S STE 600
Dublin, OH 43017

Reassigned Medicare billing, Ohio enrollment
18 clinicians in this Medicare group

NPI 1689613598 (888) 964-6681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

791 services616 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

452 services325 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

446 services321 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

128 services118 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

99 services80 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

85 services85 patients

Other Providers at the Same Location NPPES 3

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

DR. ALBERT ANTHONY KAPLAN D.P.M

Podiatrist

450 W CENTRAL PKWY STE 1000
ALTAMONTE SPRINGS, FL 32714

Seminole County (321) 397-2699

FAMILY PODIATRY OF CENTRAL FLORIDA PA

Podiatrist

450 W CENTRAL PKWY STE 1000
ALTAMONTE SPRINGS, FL 32714

Seminole County (321) 397-2699

DR. NEAL R MORTENSEN DPM

Podiatrist

450 W CENTRAL PKWY STE 1000
ALTAMONTE SPRINGS, FL 32714

Seminole County (321) 397-2699

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 Samuel Kettinger's NPI number?

The NPI number for Samuel Kettinger is 1740841071. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Samuel Kettinger located?

Samuel Kettinger practices at 450 W Central Pkwy Ste 1000, Altamonte Springs, FL 32714. The listed phone number is (321) 397-2699.

What is Samuel Kettinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Samuel Kettinger enrolled in Medicare?

Yes. Samuel Kettinger 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.

Which organization bills Medicare for Samuel Kettinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kettinger reassigns Medicare benefits to Healthdrive Podiatry Group, PC (Dublin, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Kettinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Kettinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Samuel Kettinger 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 Samuel Kettinger was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.