Doctor profile · Federal record

Dr. Kelly Jo Ketterhagen, MSOTR

Human Factors Occupational Therapist (CMS: Occupational Therapist in Private Practice) · Menomonee Falls, WI

  • NPI 1043428287
  • Accepts Medicare
  • 21 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
N84W17049 Menomonee Ave
Menomonee Falls, WI 530512701
(262) 255-7050
Mailing address
4685 Autumn Trl
Richfield, WI 530769419

Credentials & registration

NPPES · NUCC
NPI registered
May 2007 — 19 yrs on file
Profile last updated
July 8, 2007
Year of graduation
2005 — 21 yrs since
Specialty taxonomy
225XH1300X — NUCC code
State license (1)
Wisconsin #4355-026
Medicaid
WI #40894900

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043428287. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
955
Distinct HCPCS
4
Medicare allowed
$26,060
HCPCS Description Services Patients Avg allowed
97535 Training for self-care or home management, each 15 minutes 410 31 $24
97530 Therapy procedure using functional activities 315 29 $32
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 213 23 $22
97166 Evaluation for occupational therapy, typically 45 minutes 17 15 $95

In context: peer comparison

Among 1 peers in this city , average services per provider: 238. This provider delivers 4.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly Jo Ketterhagen's medical specialty?
Dr. Kelly Jo Ketterhagen practices Human Factors Occupational Therapist in Menomonee Falls, WI.
Where does Dr. Kelly Jo Ketterhagen practice?
Dr. Kelly Jo Ketterhagen practices at N84W17049 Menomonee Ave, Menomonee Falls, WI 530512701. Office phone: 2622557050.
What is Dr. Kelly Jo Ketterhagen's NPI?
Dr. Kelly Jo Ketterhagen's National Provider Identifier (NPI) is 1043428287, issued by NPPES.
Does Dr. Kelly Jo Ketterhagen accept Medicare assignment?
Yes. Dr. Kelly Jo Ketterhagen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Jo Ketterhagen commonly perform?
Top Medicare-reported procedures in 2023: Training for self-care or home management (HCPCS 97535); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.