Evan Robert Ketcham
NPI 1407559909ActiveIndividual· Student in an Organized Health Care Education/Training Program· Lebanon, NH
Student in an Organized Health Care Education/Training Program with Monadnock Family Services, practicing in Lebanon, New Hampshire. Part D covered 91 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1407559909 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 23, 2023 |
| Last updated in NPPES | Mar 23, 2023 |
| Certified by provider | Mar 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (NH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 101 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $2,585 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Psychiatry |
Medical group
- Monadnock Family ServicesKeene, NH · 11 clinicians
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