MICHAEL C KETCHAM DO
NPI 1912910191
Obstetrics & Gynecology in Jonesboro, AR

Q: What is Michael Ketcham's NPI number?

The NPI number for Michael Ketcham is 1912910191. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Michael Ketcham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ketcham was last updated on September 7, 2018. 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.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

4802 E JOHNSON AVE, JONESBORO, AR 72401(870) 936-8000(870) 934-3631 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Michael C Ketcham Do NPPES

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

MICHAEL C KETCHAM DO (NPI 1912910191) is an individual obstetrics & gynecology provider in Jonesboro, Arkansas, licensed in Arkansas (E-10891) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1997).

NPPES Registry Identity

NPI1912910191

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL C KETCHAMCredential: DO

Location Address4802 E JOHNSON AVEJonesboro, AR 72401

Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-8000 · Fax (870) 934-3631

Phone(870) 936-8000

Fax(870) 934-3631

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1997

Enumeration DateAugust 15, 2006

Last NPPES UpdateSeptember 7, 2018

✔ NPI 1912910191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in AR · E-10891✔ Licensed in VA · 0102202980✔ Licensed in NY · 222973

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4802 E JOHNSON AVE, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Michael C Ketcham Do 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 ID3476736919

PECOS Enrollment IDI20171127002300

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 20

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

MARK STRIPLING M.D.

Obstetrics & Gynecology (Obstetrics)