Myles Ketchum, M.D., PH.D.
NPI 1093249864 · Addiction Medicine (Family Medicine) Physician · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myles Ketchum, M.D., PH.D. is a Addiction Medicine (Family Medicine) Physician provider in Santa Rosa, CA (NPI 1093249864).
Provider details
- NPI number
- 1093249864
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61-25999 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
157 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 95 | $76 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 31 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 20 | $173 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 11 | $117 |
Typical Medicare-allowed amounts for these services range $17–$173 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 221 | 66 |
| Atorvastatin Calcium | 170 | 60 |
| Levothyroxine Sodium | 128 | 46 |
| Oxycodone Hcl | 127 | 25 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 124 | 43 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 124 | 41 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-18
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Myles Ketchum's NPI number?
- Myles Ketchum's National Provider Identifier (NPI) is 1093249864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Myles Ketchum's specialty?
- Myles Ketchum is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Myles Ketchum located?
- Myles Ketchum's practice location on file with NPPES is 2360 Mendocino Ave, Santa Rosa, CA 95403-3153.
- What is Myles Ketchum's phone number?
- The practice phone number listed in the NPPES registry for Myles Ketchum is (707) 573-5250.
- Does Myles Ketchum accept Medicare?
- Myles Ketchum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Myles Ketchum's NPI active?
- Yes — Myles Ketchum's NPI (1093249864) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.