JONATHAN F. KETCHUM D.P.M.
NPI 1922195627
Podiatrist - Primary Podiatric Medicine in Worcester, MA
NPI Status: Active since October 06, 2006
Contact Information
488 PLEASANT ST
WORCESTER, MA
ZIP 01609
Phone: (508) 755-9573
- Individual
- Male
- Podiatrist
- Primary Podiatric Medicine
- Medicare Quality Reporting
About JONATHAN KETCHUM
This page provides the complete NPI Profile along with additional information for Jonathan Ketchum, a provider established in Worcester, Massachusetts with a medical specialization in Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1922195627 assigned on October 2006. The practitioner's primary taxonomy code is 213EP1101X with license number 2087 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1922195627
- Provider Name
- JONATHAN F. KETCHUM D.P.M.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 488 PLEASANT ST WORCESTER, MA 01609
- Location Phone
- (508) 755-9573
- Mailing Address
- 126 BUSHY LN RUTLAND, MA 01543
- Mailing Phone
- (508) 886-6280
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-06-2006
- Last Update Date
- 03-25-2008
- Code Navigator
A podiatrist like Jonathan Ketchum provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Primary Podiatric Medicine
- Taxonomy Code
- 213EP1101X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 2087
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0019046 | OTHER (01) | MA | NEIGHBORHOOD HEALTH |
| 333402 | OTHER (01) | MA | HARVARD PILGRIM HEALTH |
| U74325 | MEDICARE UPIN (02) | MA | |
| Y75055 | MEDICARE PIN (08) | MA | |
| 2700355 | OTHER (01) | MA | UNITED HEALTHCARE |
| 002087 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| 0316644 | MEDICAID (05) | MA | |
| Y71045 | OTHER (01) | MA | BLUE SHIELD OF MA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
Established patient office or other outpatient visit, 20-29 minutes
Follow-up nursing facility visit per day, typically 10 minutes
Initial nursing facility visit per day, typically 25 minutes
New patient office or other outpatient visit, 30-44 minutes
Removal of fingernails or toenails, 6 or more nails
This is a routine 15-minute visit for patients residing in care facilities like nursing homes or assisted living. During this visit, healthcare providers review the patient's health, manage medications, and address any concerns or changes in condition. It ensures continuous, quality care.
This service was performed 16 times for 16 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 223 times for 147 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 83 times for 64 patientsAn 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.
This service was performed 35 times for 35 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 17 times for 17 patientsThis 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.
This service was performed 476 times for 271 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 5% | 347 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922195627, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
WORCESTER, MA 01609
WORCESTER, MA 01609
WORCESTER, MA 01609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922195627, enumerated as an "individual" on October 06, 2006.
The provider is located at 488 PLEASANT ST WORCESTER, MA 01609 and the phone number is (508) 755-9573.
Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Blue. Please consult your insurance carrier or call the provider to verify.
