Larry David Ketner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004241 Issued in IL

Practice address

654 W Veterans Pkwy Ste D
Yorkville, IL 60560

Phone

(630) 553-9300

Fax

(630) 553-9306

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.82 of 100Reported as group

Quality

72.99

Improvement activities

40

Cost

75.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138

  IL

  Medicare reassignment Care Compare group NPD
• Centers for Foot and Ankle Surgery

  • Foot & Ankle Surgery Podiatrist
  • Morris, IL
  • NPI 1154498194
  Medicare reassignment NPD
• Centers for Foot and Ankle Surgery

  • Durable Medical Equipment & Medical Supplies
  • Yorkville, IL
  • NPI 1912549650

  Podiatrist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1407955487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PKWY STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602510",
            "telephone_number": "630-553-9300",
            "fax_number": "630-553-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PKWY STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-553-9300",
            "fax_number": "630-553-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 N Division St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501184",
            "country_code": "US",
            "telephone_number": "815-942-9050",
            "fax_number": "815-942-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETNER",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall County Health Department
• Kendall County Health Department
• Kendall County Special Education Cooperative
• Kendall Physical Therapy Inc
• Joseph Anthony Kernes, DC
• Cheryl A Killen, RN
• Alexandra Paige King
• King'S Dominion Home Healthcare Services Corporation
• Theresa Lynne Kish, LCPC
• Sheryl Klebenow

• Podiatrist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.