Samuel James Kettinger, DPM
NPI 1740841071ActiveIndividual· Podiatrist, Foot & Ankle Surgery· Altamonte Springs, FL
Podiatrist, Foot & Ankle Surgery (DPM) with Healthdrive Podiatry Group PC, practicing in Altamonte Springs, Florida. Medicare paid $69,572 for services to 1,105 patients in 2024. Kerecis Limited reported $134.48 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1740841071 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | Jun 26, 2019 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | PO4304 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | FL |
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 - Podiatry (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,105 |
|---|---|
| Services billed | 2,235 across 20 procedure codes |
| Paid by Medicare | $69,572 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Podiatry |
Medical group
- Healthdrive Podiatry Group PCBrookfield, WI · 106 clinicians
Industry payments (Open Payments)
- 2024$134.48 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $134.48 | 1 |
What the 2024 payments were for
- Food and Beverage$134.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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