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DR. SHAWNA MARIE KETTYLE M.D.
NPI 1811253321
Surgery in Bridgeport, CT

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2800 MAIN ST DEPT OF, BRIDGEPORT, CT 06606(203) 576-6000 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shawna Marie Kettyle M.d. NPPES

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

DR. SHAWNA MARIE KETTYLE M.D. (NPI 1811253321) is an individual surgery provider in Bridgeport, Connecticut, licensed in Connecticut (61673) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2012).

NPPES Registry Identity

NPI1811253321
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SHAWNA MARIE KETTYLECredential: M.D.
Location Address2800 MAIN ST DEPT OFBridgeport, CT 06606
Mailing Address2800 Main St Dept OfBridgeport, CT 06606-4292
Phone(203) 576-6000
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateJuly 27, 2018
✔ NPI 1811253321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CT · 61673
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2800 MAIN ST DEPT OF, Bridgeport, CT 06606
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Shawna Marie Kettyle 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 ID3870841554
PECOS Enrollment IDI20180813002436
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 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.
26 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 14

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

ASSER ABOU ELKASSEM MD
Student in an Organized Health Care Education/Training Program
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5791
MUNEEB AHSAN MBBS
Student in an Organized Health Care Education/Training Program
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
DR. MAHIMA SUKUMAR MD
Student in an Organized Health Care Education/Training Program
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
SYN HAE YOON MD
Student in an Organized Health Care Education/Training Program
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
MR. MARK EDWIN LIGHTOWLER II PA-C
Physician Assistant
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 392-3600
DR. SAURABH MALHOTRA MD
Pathology (Anatomic Pathology & Clinical Pathology)
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-5033
MAHMOUD ABDELRAHMAN MD
Hospitalist
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5791
MR. JOSE PICHARDO CASTILLO MD
Hospitalist
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (465) 210-5791

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 Shawna Kettyle's NPI number?

The NPI number for Shawna Kettyle is 1811253321. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Shawna Kettyle located?

Shawna Kettyle practices at 2800 Main St Dept Of, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.

What is Shawna Kettyle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shawna Kettyle enrolled in Medicare?

Yes. Shawna Kettyle 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.

When was this NPI record last updated?

The NPPES record for Shawna Kettyle was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.