KENNETH W SHAHEEN (M.D.) – Specialist, NPI 1114928199
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
246 PLASTIC AND RECONSTRUCTIVE SURGERY in MI
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Provider Addresses for KENNETH W SHAHEEN (M.D.)
2585, Crooks Road, Troy, Oakland County, Michigan, 48084, United States
TROY, MI 480844702
Phone: (248) 283-1110
Fax: (248) 283-1114
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 36 Open Payments records for all available years, with a total value of $2,505.
Total Amount is formed as General ($2,505) + Research ($0) + Ownership ($0) = $2,505.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Integra LifeSciences Corporation ($935).
Total Amount
$2,505
General + Research + Ownership
Payments
36
Total payment records
General Amount
$2,505
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $935 |
| DePuy Synthes Sales Inc. | $301 |
| Avita Medical Americas, Llc | $226 |
| Smith+Nephew, Inc. | $187 |
| Aroa Biosurgery Incorporated | $174 |
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: 2005-08-08
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 |
|---|---|---|---|---|
| I20050808000423 | I | Plastic And Reconstructive 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 37 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 15 | $0 |
Insurance plans in this area (ZIP 48084)
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