DR. MONTE KETCHUM (D.O) – Sports Medicine (Family Medicine) Physician, NPI 1497133458
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for DR. MONTE KETCHUM (D.O)
5406 Highway 280 Ste D106
Hoover, AL 352426596
Phone: (205) 939-3699
Fax: (205) 484-2585
Type: Location
7201 Happy Hollow Rd Ste 202-A
Trussville, AL 351732458
Phone: (205) 939-3699
Fax: (205) 484-2585
Type: Location
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Phone: (205) 939-3699
Fax: (205) 484-2585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($60).
Total Amount
$213
General + Research + Ownership
Payments
9
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181010000347 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 3,421 | 30 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,852 | 169 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 264 | 181 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 205 | 158 | $0 |
| 73564 | X-ray of knee, 4 or more views | 203 | 158 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | AL | |
| Internal Medicine | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Occupational Therapist In Private Practice | AL | |
| Physician Assistant | AL | |
| Occupational Therapist In Private Practice | GA | |
| Orthopedic Surgery | AL | |
| Family Practice | AL | |
| - | AL |
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