Active NPI 1346228970 Individual Practitioner Male Practitioner

Dr. James E Kettelkamp , MD

Internal Medicine • Bettendorf, IA

Professional Overview & Biography Verified Profile Summary

Dr. James Kettelkamp, MD is a registered healthcare professional specializing in Internal Medicine in Bettendorf, IA. Practice services are available at 4480 UTICA RIDGE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4480 Utica Ridge Rd
Suite 2230

Bettendorf, IA 527221644

Telephone 5637425150

Fax 5637425175

Associated Practice Facility / Clinic

🏢 Quad Cities Kidney Center Bettendorf, Llc Facility NPI 1588663611

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bettendorf, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.0 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Bettendorf, IA (907 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	294	$228.00	$122.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	263	263	$290.00	$125.26
36415 Insertion of needle into vein for collection of blood sample	234	179	$8.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	182	144	$160.00	$85.66
83036 Hemoglobin A1C level	154	109	$28.00	$9.66
93000 Routine ekg using at least 12 leads including interpretation and report	75	75	$43.00	$13.82
90662 Influenza vaccine split virus, preservative free	62	62	$78.00	$65.12
G0008 Administration of influenza virus vaccine	59	59	$49.00	$15.89
0003A Adm sarscov2 30mcg/0.3ml 3rd	50	50	$80.00	$37.36
0004A Fee covid-19 vac 1 res	45	45	$80.00	$37.36
G0009 Administration of pneumococcal vaccine	34	34	$49.00	$15.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$318.00	$171.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$150.00	$124.89
99442 Telephone medical discussion with physician, 11-20 minutes	25	24	$142.52	$86.55
99495 Transitional care management services for problem of at least moderate complexity	24	24	$455.00	$194.78
82044 Urine microalbumin (protein) analysis	23	22	$16.00	$6.23
69210 Removal of impacted ear wax	12	11	$105.00	$44.46
81002 Urinalysis, manual test	11	11	$9.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	492	360	$207.00	$102.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	316	316	$276.00	$109.05
99213 Established patient office or other outpatient visit, typically 15 minutes	191	148	$141.00	$69.98
83036 Hemoglobin A1C level	143	105	$28.00	$9.61
G0008 Administration of influenza virus vaccine	135	134	$48.00	$15.75
90662 Influenza vaccine split virus, preservative free	132	131	$86.00	$60.75
99442 Telephone medical discussion with physician, 11-20 minutes	97	77	$141.00	$70.56
G0009 Administration of pneumococcal vaccine	94	94	$48.00	$15.70
93000 Routine ekg using at least 12 leads including interpretation and report	85	85	$42.00	$15.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	59	59	$135.00	$118.29
99443 Telephone medical discussion with physician, 21-30 minutes	56	42	$207.00	$102.74
99495 Transitional care management services for problem of at least moderate complexity	48	40	$390.00	$174.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	42	$277.00	$138.68
90670 Pneumococcal vaccine for injection into muscle	38	38	$377.00	$219.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$405.00	$161.87
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$397.00	$157.96
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$85.00	$42.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	598	415	$207.00	$101.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	309	309	$276.00	$107.94
99213 Established patient office or other outpatient visit, typically 15 minutes	281	201	$141.00	$69.24
83036 Hemoglobin A1C level	181	119	$30.00	$10.48
G0008 Administration of influenza virus vaccine	144	143	$48.00	$15.44
G0009 Administration of pneumococcal vaccine	143	143	$48.00	$15.44
90662 Influenza vaccine split virus, preservative free	141	140	$86.00	$54.83
93000 Routine ekg using at least 12 leads including interpretation and report	101	99	$42.00	$15.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	80	$277.00	$135.07
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	79	30	$99.00	$38.96
90670 Pneumococcal vaccine for injection into muscle	77	77	$374.31	$208.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	68	68	$132.00	$109.72
99495 Transitional care management services for problem of at least moderate complexity	51	43	$390.00	$153.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	50	$409.00	$160.29
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	46	16	$108.00	$42.63
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	40	24	$217.00	$85.25
69210 Removal of impacted ear wax	21	21	$112.00	$42.87
99496 Transitional care management services for problem of high complexity	18	17	$550.00	$216.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$85.00	$41.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	595	345	$198.95	$100.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$214.97	$109.13
99213 Established patient office or other outpatient visit, typically 15 minutes	225	154	$133.70	$67.94
83036 Hemoglobin A1C level	122	80	$33.62	$11.68
93000 Routine ekg using at least 12 leads including interpretation and report	114	114	$54.37	$15.71
G0008 Administration of influenza virus vaccine	106	105	$47.85	$18.94
90662 Influenza vaccine split virus, preservative free	105	104	$85.63	$52.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	85	$272.82	$136.34
G0009 Administration of pneumococcal vaccine	72	72	$47.11	$18.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	62	62	$319.84	$156.19
90670 Pneumococcal vaccine for injection into muscle	38	38	$308.00	$195.40
99495 Transitional care management services for problem of at least moderate complexity	38	36	$381.68	$153.86
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	36	11	$108.00	$43.22
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$95.00	$93.10
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	31	15	$218.00	$86.77
82044 Urine microalbumin (protein) analysis	28	28	$30.29	$6.11
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	12	$99.00	$39.56
99496 Transitional care management services for problem of high complexity	18	14	$506.50	$217.78
17000 Destruction of skin growth	17	17	$159.47	$61.15
69210 Removal of impacted ear wax	13	12	$113.92	$45.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$82.33	$40.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	586	324	$190.00	$99.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	285	285	$316.00	$158.67
99213 Established patient office or other outpatient visit, typically 15 minutes	171	134	$125.00	$68.09
93000 Routine ekg using at least 12 leads including interpretation and report	161	159	$89.00	$15.55
83036 Hemoglobin A1C level	144	88	$47.00	$13.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	90	$275.00	$135.14
G0008 Administration of influenza virus vaccine	98	98	$32.00	$23.27
90662 Influenza vaccine split virus, preservative free	93	93	$47.00	$46.06
G0009 Administration of pneumococcal vaccine	85	85	$32.00	$23.27
90670 Pneumococcal vaccine for injection into muscle	72	72	$308.00	$187.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	35	$230.00	$98.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	30	$165.00	$68.40
82044 Urine microalbumin (protein) analysis	48	44	$41.00	$6.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	34	$457.00	$191.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$86.00	$40.34
99495 Transitional care management services for problem of at least moderate complexity	31	29	$364.00	$152.17
99496 Transitional care management services for problem of high complexity	30	25	$468.00	$215.26
99239 Hospital discharge day management, more than 30 minutes	25	23	$264.00	$101.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$196.00	$49.95
81003 Automated urinalysis test	20	19	$22.00	$3.02
99238 Hospital discharge day management, 30 minutes or less	19	19	$202.00	$68.48
69210 Removal of impacted ear wax	16	16	$119.00	$45.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$95.00	$93.10
17000 Destruction of skin growth	13	11	$175.00	$61.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$184.00	$107.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IA 31459

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1346228970 (IA)

Medicaid State Provider ID

3144113 (IA)

Medicaid State Provider ID

1750347035 (IA)

Commercial Insurance / Payer ID Rr Medicare

110228451 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Ronald Schlotfeldt , MD

Internal Medicine

NPI 1033496088

Doctor of Medicine (M.D.)

Dr. William Jerome , MD

Internal Medicine

NPI 1215915855

Doctor of Medicine (M.D.)

Dr. James King , DO

Internal Medicine

NPI 1720058019

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2015

Registered at 4480 UTICA RIDGE RD, SUITE 2230, BETTENDORF, IA 527221644 (Tel: 5637425150)

📍

Updated Business Mailing Address February 05, 2015

Registered at 4480 UTICA RIDGE RD, SUITE 2230, BETTENDORF, IA 527221644 (Tel: 5637425150)

👤

Provider Name / Credentials Updated February 05, 2015

Recorded as JAMES KETTELKAMP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Internal Medicine (License #31459 in IA)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346228970

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2006

Last Update: February 05, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4480 Utica Ridge Rd, Suite 2230

Bettendorf, IA 527221644

Phone: 5637425150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.