DR. TIMOTHY D HENNE (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1730125428
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 ORTHOPEDIC SURGERY in MI
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Provider Addresses for DR. TIMOTHY D HENNE (M.D.)
3565 MOMENTUM PL
CHICAGO, IL 606895335
Phone: (616) 459-9404
Fax: (616) 233-1108
Type: Mailing
350, Lafayette Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
5TH FLOOR
GRAND RAPIDS, MI 495034656
Phone: (616) 459-9404
Fax: (616) 233-1108
Type: Location
555 MIDTOWNE ST NE STE 105
GRAND RAPIDS, MI 495035731
Phone: (616) 459-7101
Type: Location
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 495256406
Phone:
Type: Mailing
2373 64TH ST SW STE 2700
BYRON CENTER, MI 493157978
Phone: (616) 465-5910
Fax: (616) 465-5911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Davol Inc. ($150).
Total Amount
$403
General + Research + Ownership
Payments
8
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $150 |
| Zimmer Biomet Holdings, Inc. | $122 |
| Stryker Corporation | $110 |
| Medwest Associates | $14 |
| Heraeus Medical, LLC. | $7 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041001001091 | I | Orthopedic Surgery | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 47 | 34 | $0 |
| 73564 | X-ray of knee, 4 or more views | 44 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 36 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 31 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 60689)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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