KARI MICHELLE KETVERTIS (MD) – Family Medicine Physician, NPI 1134191471
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for KARI MICHELLE KETVERTIS (MD)
808, South Main Street, Willard, Huron County, Ohio, 44890, United States
HURON, OH 44839
Phone: (419) 433-6117
Fax: (419) 433-7226
Type: Location
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 609-1112
Fax: (419) 609-1123
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $610.
Total Amount is formed as General ($610) + Research ($0) + Ownership ($0) = $610.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($329).
Total Amount
$610
General + Research + Ownership
Payments
32
Total payment records
General Amount
$610
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $329 |
| Gilead Sciences, Inc. | $113 |
| PFIZER INC. | $90 |
| Otsuka America Pharmaceutical, Inc. | $29 |
| Xeris Pharmaceuticals, Inc. | $23 |
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: 2005-08-23
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 |
|---|---|---|---|---|
| I20050823000011 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 253 | 111 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $0 |
| 83036 | Hemoglobin a1c level | 64 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 48 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 45 | 17 | $0 |
Insurance plans in this area (ZIP 44839)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| - | OH |
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