DR. ERIC SMITH KETCHUM M.D.
NPI 1972793537
Internal Medicine - Cardiovascular Disease in Everett, WA

Q: What is Eric Ketchum's NPI number?

The NPI number for Eric Ketchum is 1972793537. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Q: What is Eric Ketchum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Ketchum was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment

3901 HOYT AVE, EVERETT, WA 98201(425) 259-0966 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Eric Smith Ketchum M.d. NPPES

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

DR. ERIC SMITH KETCHUM M.D. (NPI 1972793537) is an individual cardiovascular disease provider in Everett, Washington, licensed in Washington (MD6009581) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Stanford University School Of Medicine (2007).

NPPES Registry Identity

NPI1972793537

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. ERIC SMITH KETCHUMCredential: M.D.

Location Address3901 HOYT AVEEverett, WA 98201-4918

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(425) 259-0966

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2007

Enumeration DateJuly 30, 2007

Last NPPES UpdateJune 14, 2026

NPPES CertifiedJune 14, 2026

✔ NPI 1972793537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WA · MD6009581

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3901 HOYT AVE, Everett, WA 98201

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Other Identifiers 2

Other0260642WA · L&i

Medicaid1972793537WA

Accepted Insurance

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

Dr. Eric Smith Ketchum 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 ID3678605094

PECOS Enrollment IDI20100721000476

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.

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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