DR. ADAM CHRISTOPHER KETRON (MD, PHD) – Psychosomatic Medicine Physician, NPI 1124647946
Psychosomatic Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
42 PSYCHIATRY in WY
Provider Addresses for DR. ADAM CHRISTOPHER KETRON (MD, PHD)
2521 E 15th St
Casper, WY 826094126
Phone: (307) 237-7444
Type: Location
5 W Mendenhall St Ste 202
Bozeman, MT 597153566
Phone: (406) 219-7233
Type: Location
1959 NE PACIFIC STREET BOX 356560
SEATTLE, WA 981956560
Phone:
Type: Mailing
1959 NE PACIFIC ST
SEATTLE, WA 981950001
Phone: (206) 543-6577
Type: Location
60 FENWOOD RD
BOSTON, MA 021156128
Phone: (617) 732-6753
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240712001316 | I | Psychiatry | MA | TBD |
| I20241230001727 | I | Psychiatry | MT | TBD |
| I20251024002924 | I | Psychiatry | WY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 82609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | MT | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| Family Practice, Obstetrics/Gynecology | MT | |
| Clinical Social Worker | MT | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT |
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