KENNETH GWINN (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1003910118
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for KENNETH GWINN (MD)
48681, Hayes Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States
SHELBY TOWNSHIP, MI 483154403
Phone: (586) 799-1212
Fax: (586) 799-1210
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $820.
Total Amount is formed as General ($820) + Research ($0) + Ownership ($0) = $820.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($245).
Total Amount
$820
General + Research + Ownership
Payments
35
Total payment records
General Amount
$820
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $245 |
| GlaxoSmithKline, LLC. | $224 |
| Regeneron Healthcare Solutions, Inc. | $155 |
| Optinose US, Inc. | $112 |
| Neurent Medical Limited | $34 |
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: 2005-01-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20050126000238 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 654 | 379 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 389 | 237 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 332 | 223 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 204 | $0 |
| 92567 | Test to assess middle ear function | 179 | 136 | $0 |
Insurance plans in this area (ZIP 48315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Qualified Audiologist | MI | |
| Qualified Audiologist | MI | |
| Nurse Practitioner | MI |
Reviews
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