DR. NICHOLAS CLARE KETCHUM (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1801979885

DR. NICHOLAS CLARE KETCHUM (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 51705 (WI). The NPI Number for DR. NICHOLAS CLARE KETCHUM (M.D.) is 1801979885

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS CLARE KETCHUM (M.D.)
NPI
1801979885
Phone
(414) 805-3000
Address
9200 W WISCONSIN AVE
Enumeration Date
23 October 2006
Last Update Date
31 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147694040
Graduation Year
2006 (20 years ago)
PAC ID
2264580026
Group Practice PAC ID
7214836188
Professional Enrollment ID
I20090505000131
Address ID
WI532154526MI3237XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

256 PHYSICAL MEDICINE AND REHABILITATION in WI

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Provider Addresses for DR. NICHOLAS CLARE KETCHUM (M.D.)

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3000

    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 175 Open Payments records for all available years, with a total value of $188,714.

Total Amount is formed as General ($188,714) + Research ($0) + Ownership ($0) = $188,714.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($82,945).

Total Amount

$188,714

General + Research + Ownership

Payments

175

Total payment records

General Amount

$188,714

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2009-05-05

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
I20090505000131IPhysical Medicine And RehabilitationWITBD

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
J0585Injection, onabotulinumtoxina, 1 unit9,36613$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle20195$0
64643Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity9639$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8026$0
64644Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity7936$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 7214836188View full group profile
NameSpecialtyState
N E U R O L O G YWI
-WI
Physician AssistantWI
-WI
Physician AssistantWI
Nurse PractitionerWI
Physical Medicine And RehabilitationWI
N E U R O L O G YWI

Reviews

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Frequently asked questions

Is DR. NICHOLAS CLARE KETCHUM (M.D.) listed with a National Provider Identifier?
Yes — DR. NICHOLAS CLARE KETCHUM (M.D.) has NPI 1801979885 on file in the registry.
Is DR. NICHOLAS CLARE KETCHUM (M.D.) still an active registrant?
DR. NICHOLAS CLARE KETCHUM (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. NICHOLAS CLARE KETCHUM (M.D.)'s focus?
For DR. NICHOLAS CLARE KETCHUM (M.D.), the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICHOLAS CLARE KETCHUM (M.D.) located near Milwaukee?
DR. NICHOLAS CLARE KETCHUM (M.D.) currently maps to Milwaukee, Wisconsin in this extract.
Can I trust this NPI listing for DR. NICHOLAS CLARE KETCHUM (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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