DR. JEFFREY K KETCHAM (MD) – Family Medicine Physician, NPI 1245229368

DR. JEFFREY K KETCHAM (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0360743479 (IL). The NPI Number for DR. JEFFREY K KETCHAM (MD) is 1245229368

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY K KETCHAM (MD)
NPI
1245229368
Phone
(309) 692-5393
Address
8600 N STATE ROUTE 91
Enumeration Date
20 October 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096925393
Graduation Year
1985 (41 years ago)
PAC ID
4981678505
Group Practice PAC ID
6305744129
Professional Enrollment ID
I20040820000341
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEFFREY K KETCHAM (MD)

  • 91, I 74, Peoria, Peoria County, Illinois, 61636, United States

    SUITE 250

    PEORIA, IL 616159541

    Phone: (309) 692-5393

    Fax: (309) 692-2583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61615)

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Provider's Procedures

DR. JEFFREY K KETCHAM (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL00142Anesthesia for lens surgery1616
ANESTHESIOLOGYIL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1313
ANESTHESIOLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305744129View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Pain Management, AnesthesiologyIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-MO

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Frequently asked questions

How is DR. JEFFREY K KETCHAM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFREY K KETCHAM (MD) with NPI 1245229368.
Does CMS list DR. JEFFREY K KETCHAM (MD) as active?
Yes — DR. JEFFREY K KETCHAM (MD) is active in the NPI listing used on this page.
What is DR. JEFFREY K KETCHAM (MD)'s specialty?
The listing groups DR. JEFFREY K KETCHAM (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY K KETCHAM (MD) list a practice location?
Patients near Peoria, Illinois may find DR. JEFFREY K KETCHAM (MD) in results; validate coverage separately.
Is the information about DR. JEFFREY K KETCHAM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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