Larry Ketcherside, DPM
NPI 1083907471 · Podiatrist · Louisville, KY
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Ketcherside, DPM is a Podiatrist provider in Louisville, KY (NPI 1083907471).
Provider details
- NPI number
- 1083907471
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 00358 (KY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,501 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 1,862 | $38 |
| Residence Visit for New Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99341 | 183 | $43 |
| Removal of Noncancer Thickened Skin Growth, 1 Growth11055 | 125 | $58 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 108 | $21 |
| Removal of Noncancer Thickened Skin Growth, 2-4 Growths11056 | 68 | $68 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 68 | $39 |
Practice location
Mailing address
Additional practice locations (1)
- 6707 38th Ave NSt Petersburg, FL 33710-1536Phone: (727) 800-9958Fax: (855) 552-3776
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is Larry Ketcherside's NPI number?
- Larry Ketcherside's National Provider Identifier (NPI) is 1083907471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Ketcherside's specialty?
- Larry Ketcherside is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Larry Ketcherside located?
- Larry Ketcherside's practice location on file with NPPES is 2525 Bardstown Rd Ste 110, Louisville, KY 40205-2699.
- What is Larry Ketcherside's phone number?
- The practice phone number listed in the NPPES registry for Larry Ketcherside is (502) 458-8989.
- Does Larry Ketcherside accept Medicare?
- Larry Ketcherside is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Ketcherside's NPI active?
- Yes — Larry Ketcherside's NPI (1083907471) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.