DR. RICHARD T KETTELKAMP (DO) – Interventional Cardiology Physician, NPI 1922042894
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
322 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IA
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Provider Addresses for DR. RICHARD T KETTELKAMP (DO)
Physicians Clinic of Iowa, 202, 10th Street Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52405, United States
SUITE 225
CEDAR RAPIDS, IA 524032404
Phone: (319) 364-7101
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)
CMS reports 9 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Abbott Laboratories ($97).
Total Amount
$264
General + Research + Ownership
Payments
9
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $97 |
| ABIOMED | $54 |
| Medtronic, Inc. | $52 |
| Edwards Lifesciences Corporation | $33 |
| ShockWave Medical, Inc | $14 |
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: 2006-04-21
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 |
|---|---|---|---|---|
| I20060421000387 | I | Cardiovascular Disease (Cardiology) | IA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,152 | 910 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 553 | 461 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 170 | 162 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 139 | 138 | $0 |
| 93308 | Ultrasound of heart, follow-up | 102 | 75 | $0 |
Insurance plans in this area (ZIP 52403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 124 | 123 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 79 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | IA | |
| Physical Therapist In Private Practice | NE | |
| - | WI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IA | |
| N E U R O S U R G E R Y | MN | |
| Hospitalist, Internal Medicine | LA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | WI | |
| N E U R O L O G Y | IA | |
| H O S P I T A L I S T | IA |
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