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Robert Louis Ketcham, D.D.S., M.S.D

NPI 1841317518ActiveIndividual· Dentist, Prosthodontics· Fort Wayne, IN

Opted out of Medicare from October 2014 to October 2028. Dentist, Prosthodontics (D.D.S., M.S.D) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in March 2007.

Overview

NPI1841317518
StatusActive
Entity typeIndividual
CredentialD.D.S., M.S.D
Sole proprietorNo
NPI issuedMar 26, 2007
Last updated in NPPESMay 27, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700X12006504AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 1, 2014 – Oct 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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