Kettering Medical Center
NPI 1205005063 · Long Term Care Pharmacy · Miamisburg, OH
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kettering Medical Center is a Long Term Care Pharmacy organization in Miamisburg, OH (NPI 1205005063).
Provider details
- NPI number
- 1205005063
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Kettering Medical Center
- Organization subpart
- Yes
- Authorized official
- James Blackburn, Director of Pharmacy(937) 458-4932
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 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
374 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) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 208 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 147 | $39 |
| Administration of Pneumococcal VaccineG0009 | 19 | $30 |
Typical Medicare-allowed amounts for these services range $30–$39 (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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Collaborative Pharmacy Services
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Frequently asked questions
- What is Kettering Medical Center's NPI number?
- Kettering Medical Center's National Provider Identifier (NPI) is 1205005063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettering Medical Center?
- Kettering Medical Center is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Kettering Medical Center located?
- Kettering Medical Center's practice location on file with NPPES is 4301 Lyons Rd, Miamisburg, OH 45342.
- What is Kettering Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Kettering Medical Center is (937) 458-4949.
- Does Kettering Medical Center accept Medicare?
- Kettering Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kettering Medical Center?
- The authorized official listed on Kettering Medical Center's NPPES record is James Blackburn, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettering Medical Center's NPI active?
- Yes — Kettering Medical Center's NPI (1205005063) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.