Physician Profile

Myles J. Ketchum, M.D., PhD

Unclaimed Profile

About Dr. Ketchum

Myles J. Ketchum, M.D., PhD is a healthcare provider in Santa Rosa, CA specializing in family medicine. Myles trained at Louisiana State University School of Medicine in New Orleans, graduating in 2017. Myles is also listed as specializing in preventive medicine. According to Medicare claims data, Myles cared for 128 Medicare patients across 157 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', and new patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Family Medicine (Primary)
Family Medicine (Additional)

Credentials & Licensing

CA license61-25999
CA license1211497
NPI1093249864
NPI issued04/18/2017

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Myles J. Ketchum, M.D. specialize in?

Myles J. Ketchum, M.D. is a family doctor in Santa Rosa, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is Myles J. Ketchum, M.D. located?

Myles J. Ketchum, M.D. is listed at 2360 Mendocino Ave, Santa Rosa, CA 95403. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Myles J. Ketchum, M.D.'s phone number?

The number on file is (707) 573-5250. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Myles J. Ketchum, M.D.'s NPI number?

Myles J. Ketchum, M.D.'s National Provider Identifier is 1093249864. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Myles J. Ketchum, M.D. train?

Myles J. Ketchum, M.D. attended Louisiana State University School of Medicine in New Orleans, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How long has Myles J. Ketchum, M.D. been practicing?

Myles J. Ketchum, M.D. has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

What does Myles J. Ketchum, M.D. do most often?

According to Medicare billing data, Myles J. Ketchum, M.D. the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Myles J. Ketchum, M.D. confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Myles J. Ketchum, M.D.. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.