IVAN C KETTER (MD) – Family Medicine Physician, NPI 1194724500

IVAN C KETTER (MD) is a healthcare provider. based in Topeka, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 422467 (KS). The NPI Number for IVAN C KETTER (MD) is 1194724500

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
IVAN C KETTER (MD)
NPI
1194724500
Phone
(785) 271-1818
Address
2835 SW MISSION WOODS DR
Enumeration Date
18 July 2005
Last Update Date
4 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7852282277
Graduation Year
1987 (39 years ago)
PAC ID
7517909625
Group Practice PAC ID
6406112473
Professional Enrollment ID
I20050531000402
Address ID
KS666145614TO2840XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for IVAN C KETTER (MD)

  • 2835, Southwest Mission Woods Drive, Topeka, Shawnee County, Kansas, 66614, United States

    TOPEKA, KS 666145616

    Phone: (785) 271-1818

    Fax: (785) 232-0739

    Type: Location

  • PO BOX 1657

    TOPEKA, KS 666011657

    Phone: (785) 295-8108

    Fax: (785) 231-5991

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $307.

Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($96).

Total Amount

$307

General + Research + Ownership

Payments

19

Total payment records

General Amount

$307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-05-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050531000402IFamily PracticeKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg1,32015$0
99214Established patient office or other outpatient visit, 30-39 minutes997592$0
36415Insertion of needle into vein for collection of blood sample753508$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month346126$0
99213Established patient office or other outpatient visit, 20-29 minutes147124$0
View full utilization report →

Insurance plans in this area (ZIP 66614)

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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: 6406112473View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is IVAN C KETTER (MD) identified in CMS data?
CMS-hosted NPPES data lists IVAN C KETTER (MD) with NPI 1194724500.
Is IVAN C KETTER (MD) still practicing?
IVAN C KETTER (MD) is currently listed as active in the public NPI registry.
What is IVAN C KETTER (MD)'s primary classification?
Family Medicine Physician is the headline specialty for IVAN C KETTER (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect IVAN C KETTER (MD) on a map?
Expect Topeka, Kansas as a primary anchor for IVAN C KETTER (MD) unless the record lists multiple sites.
Is the information about IVAN C KETTER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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