Doctor profile · Federal record
Dr. Alyssa Ketchum, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Chicago, IL
- NPI 1104200625
- Accepts Medicare
- MIPS 91.3 / 100 · 2023
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
676 N Saint Clair St Ste 1900
Chicago, IL 606112986
(312) 926-5354
Credentials & registration
- NPI registered
- July 2015 — 11 yrs on file
- Profile last updated
- December 17, 2018
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Illinois #085005549
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104200625. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
90
Distinct HCPCS
5
Medicare allowed
$8,535
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $79 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $113 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $149 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 13 | 13 | $117 | |
81003 |
Automated urinalysis test | 11 | 11 | $2 |
In context: peer comparison
Among 21 peers in Chicago Surgical Physician Assistant, average services per provider: 28. This provider delivers 3.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$128
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluconazole | Generic | 11 | 0 | $128 |
Frequently asked questions
What is Dr. Alyssa Ketchum's medical specialty?
Dr. Alyssa Ketchum practices Surgical Physician Assistant in Chicago, IL.
Where does Dr. Alyssa Ketchum practice?
Dr. Alyssa Ketchum practices at 676 N Saint Clair St Ste 1900, Chicago, IL 606112986. Office phone: 3129265354.
What is Dr. Alyssa Ketchum's NPI?
Dr. Alyssa Ketchum's National Provider Identifier (NPI) is 1104200625, issued by NPPES.
Does Dr. Alyssa Ketchum accept Medicare assignment?
Yes. Dr. Alyssa Ketchum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Alyssa Ketchum commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.