DR. MICHAEL J KENNESON (D.O.) – Family Medicine Physician, NPI 1154391969
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. MICHAEL J KENNESON (D.O.)
43900, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States
STE 222
CLINTON TOWNSHIP, MI 480381137
Phone: (586) 286-0050
Fax: (586) 286-0880
Type: Mailing
Garfield Road, Clinton Township, Macomb County, Michigan, 48044, United States
SUITE 103
CLINTON TWP, MI 480385022
Phone: (586) 286-0050
Fax: (586) 286-0880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $476.
Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($124).
Total Amount
$476
General + Research + Ownership
Payments
27
Total payment records
General Amount
$476
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $124 |
| PFIZER INC. | $78 |
| GlaxoSmithKline, LLC. | $75 |
| Merck Sharp & Dohme LLC | $59 |
| IDORSIA PHARMACEUTICALS US INC | $29 |
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: 2010-04-07
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 |
|---|---|---|---|---|
| I20100407000605 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 502 | 237 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 348 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 128 | $0 |
| 99497 | Advance care planning, first 30 minutes | 143 | 143 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 143 | 143 | $0 |
Insurance plans in this area (ZIP 48038)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Hospitalist, Internal Medicine, Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| Family Practice | MI |
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