KENNETH J. MOQUIN (M.D.) – Plastic Surgery Physician, NPI 1124181755
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 PLASTIC AND RECONSTRUCTIVE SURGERY in MI
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Provider Addresses for KENNETH J. MOQUIN (M.D.)
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Phone: (313) 916-2436
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 50 Open Payments records for all available years, with a total value of $21,470.
Total Amount is formed as General ($21,470) + Research ($0) + Ownership ($0) = $21,470.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14,779).
Total Amount
$21,470
General + Research + Ownership
Payments
50
Total payment records
General Amount
$21,470
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $14,779 |
| ABBVIE INC. | $5,024 |
| Integra LifeSciences Corporation | $703 |
| AXOGEN | $298 |
| Organogenesis Inc. | $143 |
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: 2021-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100222000150 | I | Plastic And Reconstructive Surgery | MI | TBD |
| I20211016000003 | I | Plastic And Reconstructive Surgery | NC | 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 | 45 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
Reviews
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