Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert
NPI 1558335869 · Clinical Medical Laboratory · Tallahassee, FL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is a Clinical Medical Laboratory organization in Tallahassee, FL (NPI 1558335869).
Provider details
- NPI number
- 1558335869
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Angela Fuqua, Administrator(850) 219-7603
- License
- 800000042 (FL)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 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
21,394 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 14,718 | $51 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 1,871 | $51 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 939 | $69 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 813 | $75 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 580 | $34 |
| Microscopic Genetic Analysis of Tumor, Manual88360 | 465 | $71 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-14
- Last updated
- 2020-05-15
- Certified
- 2020-05-15
Frequently asked questions
- What is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's NPI number?
- Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's National Provider Identifier (NPI) is 1558335869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert?
- Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert located?
- Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's practice location on file with NPPES is 1899 Eider Ct, Tallahassee, FL 32308-4537.
- What is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's phone number?
- The practice phone number listed in the NPPES registry for Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is (850) 878-5143.
- Does Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert accept Medicare?
- Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert 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 Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert?
- The authorized official listed on Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's NPPES record is Angela Fuqua, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's NPI active?
- Yes — Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert's NPI (1558335869) is active in the NPPES registry as of the last update on 2020-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.