ANDREW JOHN KETNER (D.O.) – Orthopaedic Surgery Physician, NPI 1043574874
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 ANDREW JOHN KETNER (D.O.)
50 N PERRY ST
PONTIAC, MI 483422217
Phone: (248) 338-5392
Fax: (248) 338-5567
Type: Mailing
4000 HIGHLAND RD STE 101
WATERFORD, MI 483282163
Phone: (248) 270-5622
Fax: (248) 856-2474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $3,341.
Total Amount is formed as General ($3,341) + Research ($0) + Ownership ($0) = $3,341.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Stryker Corporation ($3,341).
Total Amount
$3,341
General + Research + Ownership
Payments
31
Total payment records
General Amount
$3,341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $3,341 |
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: 2018-07-10
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 |
|---|---|---|---|---|
| I20180710001532 | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 902 | 13 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 185 | 32 | $0 |
| 73502 | X-ray of hip, 2-3 views | 112 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 77 | $0 |
| 73564 | X-ray of knee, 4 or more views | 62 | 54 | $0 |
Insurance plans in this area (ZIP 48342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Vascular Surgery, General Surgery | MI | |
| Orthopedic Surgery | MI |
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