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

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: August 02, 2026.

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 CareSource.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

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.

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.

What insurance does Samuel Kettinger accept?

Health plans from 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.