Ketan Verma, M.D.
NPI 1437513652 · Neurological Surgery Physician · Richmond, VA
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Verma, M.D. is a Neurological Surgery Physician provider in Richmond, VA (NPI 1437513652).
Provider details
- NPI number
- 1437513652
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101277562 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
264 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 86 | $75 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 39 | $134 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $127 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $93 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $124 |
| Creation of Brain Fluid Drainage Shunt, Ventriculo-Peritoneal, -Pleural, Other Terminus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 24 | 12 |
| Gabapentin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,382 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 10528 Spotsylvania AveFredericksburg, VA 22408-2710Phone: (540) 891-3173Fax: (804) 828-0374
- 11958 W Broad StHenrico, VA 23233-1007Phone: (804) 360-4669Fax: (804) 828-0374
- 1250 E Marshall St980631Richmond, VA 23298-5051Phone: (804) 828-2437Fax: (804) 828-1953
- 8700 Stony Point PkwyRichmond, VA 23235-1962Phone: (804) 323-0831Fax: (804) 828-0374
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Frequently asked questions
- What is Ketan Verma's NPI number?
- Ketan Verma's National Provider Identifier (NPI) is 1437513652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketan Verma's specialty?
- Ketan Verma is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ketan Verma located?
- Ketan Verma's practice location on file with NPPES is 417 N 11th St, Richmond, VA 23298-5024.
- What is Ketan Verma's phone number?
- The practice phone number listed in the NPPES registry for Ketan Verma is (804) 828-9165.
- Does Ketan Verma accept Medicare?
- Ketan Verma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketan Verma's NPI active?
- Yes — Ketan Verma's NPI (1437513652) is active in the NPPES registry as of the last update on 2023-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.