LLOYD HOWARD KETCHUM – Hematology (Internal Medicine) Physician, NPI 1164465191

LLOYD HOWARD KETCHUM is a healthcare provider. based in Duluth, Minnesota. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold a License No. 48933 (MN). The NPI Number for LLOYD HOWARD KETCHUM is 1164465191

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
LLOYD HOWARD KETCHUM
NPI
1164465191
Phone
(218) 786-8364
Address
400 E 3RD ST
Enumeration Date
14 June 2006
Last Update Date
12 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187865360
Graduation Year
1995 (31 years ago)
PAC ID
1153324488
Group Practice PAC ID
0941377360
Professional Enrollment ID
I20240405001037
Address ID
MN558115640DU1600XHWYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

440 HEMATOLOGY/ONCOLOGY in MN

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Provider Addresses for LLOYD HOWARD KETCHUM

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    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 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-06-23 • Largest payer in this snapshot: Astellas Pharma US Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$14
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: 2024-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060807000151IHematology/OncologyMNTBD
I20240405001037IHematology/OncologyWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes299110$0
99215Established patient office or other outpatient visit, 40-54 minutes13747$0
99213Established patient office or other outpatient visit, 20-29 minutes5346$0
99205New patient office or other outpatient visit, 60-74 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Provider's Procedures

LLOYD HOWARD KETCHUM performs procedures in HEMATOLOGY/ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYMN74177CT scan of abdomen and pelvis with contrast1812
HEMATOLOGY/ONCOLOGYMN96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention6116

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: 0941377360View full group profile
NameSpecialtyState
Physician AssistantIA
Family PracticeMN
Physician AssistantMN
Orthopedic Surgery, Hand SurgeryMN
Nurse PractitionerMN
-MN
Family Practice, HospitalistMN
Hematology/Oncology, Internal MedicineMN
Nurse PractitionerMN
Radiation OncologyMN

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Frequently asked questions

What identifier follows LLOYD HOWARD KETCHUM across health systems?
The NPI 1164465191 uniquely identifies LLOYD HOWARD KETCHUM in U.S. healthcare data.
Is LLOYD HOWARD KETCHUM currently accepting referrals based on NPI status?
Registry metadata lists LLOYD HOWARD KETCHUM as active.
How should patients interpret LLOYD HOWARD KETCHUM's specialty?
The extract shows Hematology (Internal Medicine) Physician for LLOYD HOWARD KETCHUM. Clinical services aligned with this taxonomy classification.
What city is tied to LLOYD HOWARD KETCHUM?
The directory associates LLOYD HOWARD KETCHUM with Duluth, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for LLOYD HOWARD KETCHUM?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.