Physician

Nicholas Clare Ketchum, M.D.

According to 2025 Medicare claims, Nicholas Ketchum, M.D. (NPI: 1801979885) practices physical medicine and rehabilitation in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is CENTER FOR NEUROLOGICAL DISORDERS, SC (NPI: 1649223041; TIN: 391655667) and primary practice location at 53177-1604. Ketchum is affiliated with the Froedtert & The Medical College of Wisconsin ACO, LLC (ACO ID: A4825), participating under the MSSP model.

Ketchum's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 118 traditional Medicare patients, billed 11,403 HCPCS/CPT codes, and received $76,595 in Medicare payments. The top billing code was 95910 (Nerve conduction, 7-8 studies). Part D data shows 183 prescription claims across 52 beneficiaries totaling $3,722 in drug costs, led by Baclofen (Baclofen). DME data shows 38 claims. Open Payments data shows 200 records totaling $280,307. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $70,241 and ending at $76,595. Concurrently, Part D prescription costs have fallen sharply in recent years, from $42,872 to $3,722. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $19,156 and ending at $7,804.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	222	5,335	$70,241
2016	194	8,338	$75,186
2017	274	11,999	$115,874
2018	255	17,172	$141,577
2019	235	16,996	$140,239
2020	208	14,359	$116,981
2021	179	13,791	$110,043
2022	177	9,932	$88,282
2023	189	14,833	$118,891
2024	118	11,403	$76,595

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	50	333	$42,872
2016	65	405	$56,758
2017	90	512	$54,780
2018	105	563	$47,121
2019	99	469	$37,103
2020	90	509	$29,468
2021	92	519	$21,247
2022	99	497	$16,890
2023	97	466	$13,567
2024	52	183	$3,722

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	74	$1,677
2016	N/R	N/R	N/R
2017	N/R	22	$2,311
2018	N/R	107	$5,969
2019	N/R	122	$6,628
2020	N/R	40	$3,649
2021	N/R	13	$392
2022	N/R	N/R	N/R
2023	N/R	28	$1,043
2024	N/R	38	$2,967

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
95910	Nerve conduction, 7-8 studies	19	19	$136
95909	Nerve conduction, 5-6 studies	17	18	$99
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	54	84	$73
95874	Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle	43	55	$39
64643	Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity	14	15	$36

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Baclofen	Baclofen	61	3,338	$1,988
Tizanidine Hcl	Tizanidine Hcl	44	1,792	$576
Gabapentin	Gabapentin	16	1,005	$449
Venlafaxine Hcl Er	Venlafaxine Hcl	13	366	$150
Diazepam	Diazepam	14	307	$42

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1805	Dynamic adjustable wrist extension / flexion device, includes soft interface material	Y	N/R	16	$2,095
E2378	Power wheelchair component, actuator, replacement only	Y	N/R	11	$465
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)	Y	N/R	11	$406

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	94	$100,232	Ipsen Biopharmaceuticals, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	106	$180,075	Ipsen Pharma SAS
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Nicholas Clare Ketchum, M.D.?

Tedicare shows public-source Medicare data for Nicholas Clare Ketchum, M.D. (NPI 1801979885), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Nicholas Clare Ketchum, M.D. have ACO affiliation data?

Nicholas Clare Ketchum, M.D. is shown with ACO affiliation data for Froedtert & The Medical College of Wisconsin ACO, LLC (MSSP, ACO ID A4825).

What billing organization is linked to Nicholas Clare Ketchum, M.D.?

Nicholas Clare Ketchum, M.D. is linked to CENTER FOR NEUROLOGICAL DISORDERS, SC (billing NPI 1649223041) in the available physician profile data.

Does Nicholas Clare Ketchum, M.D. have Open Payments data?

Nicholas Clare Ketchum, M.D. has 200 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.