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ANTHONY BRETON KETNER DO
NPI 1922748656
Pediatrics in Puyallup, WA

Active since March 30, 2022PECOS Enrolled
11102 SUNRISE BLVD E STE 103, PUYALLUP, WA 98374(253) 848-8797(253) 845-1114 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Anthony Breton Ketner Do NPPES

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

ANTHONY BRETON KETNER DO (NPI 1922748656) is an individual pediatrics provider in Puyallup, Washington, licensed in Washington (OP61602436) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Michigan State University College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1922748656
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANTHONY BRETON KETNERCredential: DO
Location Address11102 SUNRISE BLVD E STE 103Puyallup, WA 98374-8846
Mailing AddressPo Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Phone(253) 848-8797
Fax(253) 845-1114
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1922748656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · OP61602436
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11102 SUNRISE BLVD E STE 103, Puyallup, WA 98374
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Secondary Practice Location 1

Location 11 Medical Center BlvdWinston Salem, NC 27157-3006 · Phone (336) 716-2011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Breton Ketner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426430133
PECOS Enrollment IDI20250926001243
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 Anthony Ketner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
5.4 mi
Pediatrics
1706 S MERIDIAN STE 120
Puyallup, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700396652 (253) 848-8797

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 2

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

SZU-WEN LIOU MD
Pediatrics
11102 SUNRISE BLVD E STE 103
PUYALLUP, WA 98374
Pierce County (253) 848-8797
TAYLOR RYAN MCLAIN MD
Pediatrics
11102 SUNRISE BLVD E STE 103
PUYALLUP, WA 98374
Pierce County (253) 848-8797

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 Anthony Ketner's NPI number?

The NPI number for Anthony Ketner is 1922748656. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Anthony Ketner located?

Anthony Ketner practices at 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374. The listed phone number is (253) 848-8797.

What is Anthony Ketner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anthony Ketner enrolled in Medicare?

Yes. Anthony Ketner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Ketner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Ketner reassigns Medicare benefits to Multicare Health System (Puyallup, WA). 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 Anthony Ketner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Ketner accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Anthony Ketner 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 Anthony Ketner was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.