MR. WILLIAM STEWART KETCHAM M.D. NPI 1093866006

NPI Information

  • NPI: 1093866006
  • Provider Name: MR. WILLIAM STEWART KETCHAM, M.D.
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 HEALTH PARK DR
    STE 150
    GARNER, NC
    ZIP 27529
  • Phone: (919) 772-3487

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NPI Details

MR. William Stewart Ketcham, M.D. is a mohs-micrographic surgery dermatology in Garner, NC with 42 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. MR. William Stewart Ketcham, M.D. NPI is 1093866006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

501 HEALTH PARK DR
STE 150
GARNER, NC
ZIP 27529-051
Phone: (919) 772-3487
Fax: (919) 772-3446

The NPI 1093866006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm (HCPCS:12053)
  • Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:17271)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS:12034)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/16/2007 and was last updated on 10/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist29605NORTH CAROLINANo
2207N00000XDermatology29605NORTH CAROLINANo
3207ND0101XDermatologyMOHS-Micrographic Surgery29605NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
195508OTHERNORTH CAROLINAMEDCOST
24510902OTHERNORTH CAROLINAAETNA
30273LOTHERNORTH CAROLINABCBS GROUP NUMBER
4070014474OTHERNORTH CAROLINARR MEDICARE
53330875-004OTHERNORTH CAROLINACIGNA
648795OTHERNORTH CAROLINABCBS IND
7290649OTHERNORTH CAROLINAMAMSI
830499OTHERNORTH CAROLINAPARTNERS
9562147357OTHERNORTH CAROLINAUHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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