CHRISTOPHER FREDERICK KETCHAM (DO) – Physical Medicine & Rehabilitation Physician, NPI 1780098780

CHRISTOPHER FREDERICK KETCHAM (DO) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 02005317A (IN). The NPI Number for CHRISTOPHER FREDERICK KETCHAM (DO) is 1780098780

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER FREDERICK KETCHAM (DO)
NPI
1780098780
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
17 June 2014
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5746478800
Graduation Year
2014 (12 years ago)
PAC ID
0941512362
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20180710001002
Address ID
IN466011173SO100XXPLXX301

Contacts

Secure Messaging
cketcham@mybeacon.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

217 PHYSICAL MEDICINE AND REHABILITATION in IN

Provider Addresses for CHRISTOPHER FREDERICK KETCHAM (DO)

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 100 NAVARRE PL STE 6600

    SOUTH BEND, IN 466011173

    Phone: (574) 647-8800

    Fax: (574) 647-8811

    Type: Location

  • 111 W Jefferson Blvd Ste 100

    South Bend, IN 466011993

    Phone: (574) 647-1670

    Fax: (574) 647-6927

    Type: Location

  • 1815 E Ireland Rd

    South Bend, IN 466142845

    Phone: (574) 647-1700

    Fax: (574) 647-7572

    Type: Location

  • 615 N Michigan St 1st Fl Hospitalist Ste

    South Bend, IN 466011033

    Phone: (574) 647-3050

    Fax: (574) 647-1094

    Type: Location

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone:

    Type: Mailing

  • 100 NAVARRE PL STE 4440

    SOUTH BEND, IN 466011171

    Phone: (574) 647-5300

    Fax: (574) 647-5305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $433.

Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($190).

Total Amount

$433

General + Research + Ownership

Payments

16

Total payment records

General Amount

$433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2018-07-10

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
I20180710001002IPhysical Medicine And RehabilitationINTBD

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 unit14,10024$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes23693$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11960$0
99213Established patient office or other outpatient visit, 20-29 minutes7857$0
95874Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle7329$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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Frequently asked questions

Is CHRISTOPHER FREDERICK KETCHAM (DO) listed with a National Provider Identifier?
Yes — CHRISTOPHER FREDERICK KETCHAM (DO) has NPI 1780098780 on file in the registry.
Is CHRISTOPHER FREDERICK KETCHAM (DO) still an active registrant?
CHRISTOPHER FREDERICK KETCHAM (DO) carries an active NPI according to the public dataset.
How would a patient describe CHRISTOPHER FREDERICK KETCHAM (DO)'s focus?
For CHRISTOPHER FREDERICK KETCHAM (DO), the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHRISTOPHER FREDERICK KETCHAM (DO)?
Travel planning: use South Bend, Indiana as the reference point for CHRISTOPHER FREDERICK KETCHAM (DO), then confirm.
When was this NPI issued?
Enumeration for CHRISTOPHER FREDERICK KETCHAM (DO) is noted as June 17, 2014 where the registry provides it.

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