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CLAIRE E KETCHEM MD
NPI 1932632049
Hospitalist in Philadelphia, PA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-7785 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Jul 29, 2022, Mar 9, 2022 and 2 more (5 updates tracked since 2019).

About Claire E Ketchem Md NPPES

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

CLAIRE E KETCHEM MD (NPI 1932632049) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in Illinois (036174303) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932632049
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCLAIRE E KETCHEMCredential: MD
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address111 S 11th StPhiladelphia, PA 19107-4824 · (984) 974-4462
Phone(215) 955-7785
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2017
Last NPPES UpdateDecember 22, 20255 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1932632049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036174303
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD477849 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Names 1

Former Name (1)Claire Elizabeth Nugent

Secondary Practice Locations 3

Location 1102 Mason Farm RdChapel Hill, NC 27599-6134 · Phone (984) 974-4462
Location 21600 river rd apt 4025Louisville, KY 40206 · Phone (513) 276-7545
Location 3251 E Huron St Ste 16-738Chicago, IL 60611-3055 · Phone (312) 926-5924 · Fax (312) 926-6134

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

Claire E Ketchem Md 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 ID7416280292
PECOS Enrollment IDI20250801000817
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 4

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services33 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.
53 services29 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.
51 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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 Claire Ketchem's NPI number?

The NPI number for Claire Ketchem is 1932632049. It was assigned to this individual provider in the NPPES registry on April 5, 2017. The provider is also known as Claire Elizabeth Nugent.

Where is Claire Ketchem located?

Claire Ketchem practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-7785.

What is Claire Ketchem's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Claire Ketchem enrolled in Medicare?

Yes. Claire Ketchem 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.

Is Claire Ketchem affiliated with any hospitals?

According to CMS data, Claire Ketchem is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Claire Ketchem was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.