Doctor profile · Federal record
Dr. Matthew Ketelaar, MD
Diagnostic Radiology Physician · Davenport, IA
- NPI 1336109180
- MIPS 94.0 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1970 E 53Rd St
Davenport, IA 528072710
(563) 359-3949
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- May 5, 2021
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Iowa #28007
- Medicaid (2)
- IA #5096792 · IA #2096792
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336109180. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,561
Distinct HCPCS
10
Medicare allowed
$86,355
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77067 |
Screening mammography | 412 | 412 | $36 | |
77063 |
Screening 3d breast mammography | 409 | 409 | $29 | |
77063 |
Screening 3d breast mammography | 294 | 294 | $28 | |
77067 |
Screening mammography | 294 | 294 | $35 | |
71046 |
X-ray of chest, 2 views | 111 | 111 | $10 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 110 | 109 | $28 | |
71045 |
X-ray of chest, 1 view | 107 | 104 | $8 | |
77065 |
Diagnostic mammography of 1 breast | 79 | 77 | $37 | |
70450 |
Ct scan head or brain without contrast | 69 | 67 | $39 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 54 | 54 | $9 |
In context: peer comparison
Among 8 peers in Davenport Diagnostic Radiology Physician, average services per provider: 59. This provider delivers 43× the peer median.Frequently asked questions
What is Dr. Matthew Ketelaar's medical specialty?
Dr. Matthew Ketelaar practices Diagnostic Radiology Physician in Davenport, IA.
Where does Dr. Matthew Ketelaar practice?
Dr. Matthew Ketelaar practices at 1970 E 53Rd St, Davenport, IA 528072710. Office phone: 5633593949.
What is Dr. Matthew Ketelaar's NPI?
Dr. Matthew Ketelaar's National Provider Identifier (NPI) is 1336109180, issued by NPPES.
What procedures does Dr. Matthew Ketelaar commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); Screening 3d breast mammography (HCPCS 77063). Source: CMS Medicare Physician & Other Practitioners file.