DR. JUSTIN WILLIAM PETERSON (D.O.) – Orthopaedic Surgery Physician, NPI 1033558010
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
Provider Addresses for DR. JUSTIN WILLIAM PETERSON (D.O.)
10352 EDGEWATER TRL
HOLLY, MI 484429337
Phone: (231) 649-2036
Type: Mailing
1 GENESYS PKWY
GRAND BLANC, MI 484398065
Phone: (810) 606-5000
Type: Location
1 Genesys Pkwy
Grand Blanc, MI 484398065
Phone: (810) 606-5000
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (414) 321-2255
Type: Mailing
2424 S 90TH ST
WEST ALLIS, WI 532272455
Phone: (414) 321-2255
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $3,686.
Total Amount is formed as General ($3,686) + Research ($0) + Ownership ($0) = $3,686.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($3,273).
Total Amount
$3,686
General + Research + Ownership
Payments
25
Total payment records
General Amount
$3,686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $3,273 |
| DePuy Synthes Sales Inc. | $188 |
| Stryker Corporation | $185 |
| Ferring Pharmaceuticals Inc. | $21 |
| Bioventus LLC | $19 |
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: 2019-08-14
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 |
|---|---|---|---|---|
| I20190814003398 | I | Orthopedic Surgery | WI | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 48 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 39 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 38 | 32 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 29 | $0 |
| 73502 | X-ray of hip, 2-3 views | 30 | 21 | $0 |
Insurance plans in this area (ZIP 48442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI | |
| E N D O C R I N O L O G Y | IL | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| Family Practice | IL |
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