JOHN KENNETH ANDERSON (MD) – Orthopaedic Surgery Physician, NPI 1245377837

JOHN KENNETH ANDERSON (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 061034 (MI). The NPI Number for JOHN KENNETH ANDERSON (MD) is 1245377837

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KENNETH ANDERSON (MD)
NPI
1245377837
Phone
Not provided
Address
24 FRANK LLOYD WRIGHT DR LBBY J2000
Enumeration Date
31 January 2007
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
6002874419
Group Practice PAC ID
5092605717
Professional Enrollment ID
I20050103000155
Address ID
MI483223634WE33010HWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

Provider Addresses for JOHN KENNETH ANDERSON (MD)

  • 24 FRANK LLOYD WRIGHT DR LBBY J2000

    ANN ARBOR, MI 481059484

    Phone:

    Type: Mailing

  • 2305 GENOA BUSINESS PARK DR STE 120

    BRIGHTON, MI 481147004

    Phone: (810) 494-6881

    Fax: (810) 494-6882

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: DJO, LLC ($131).

Total Amount

$197

General + Research + Ownership

Payments

4

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050103000155IOrthopedic SurgeryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7449$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
J1040Injection, methylprednisolone acetate, 80 mg4329$0
20610Aspiration and/or injection of fluid from large joint3227$0
73562X-ray of knee, 3 views1814$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

Loading plans...

Provider's Procedures

JOHN KENNETH ANDERSON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI27447Repair of knee joint1111
ORTHOPEDIC SURGERYMI97535Self-care or home management training, each 15 minutes3229

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092605717View full group profile
NameSpecialtyState
N E U R O L O G YMI
Family PracticeMI
Internal Medicine, Sports MedicineMI
Physician AssistantAZ
Orthopedic SurgeryIL
Internal MedicineMI
Internal MedicineMI
Internal MedicineMI
N E U R O S U R G E R YMI
Internal MedicineMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to JOHN KENNETH ANDERSON (MD)?
The federal identifier for JOHN KENNETH ANDERSON (MD) is NPI 1245377837.
Is JOHN KENNETH ANDERSON (MD)'s NPI currently valid?
The extract we use shows JOHN KENNETH ANDERSON (MD) as active.
Does JOHN KENNETH ANDERSON (MD) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for JOHN KENNETH ANDERSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN KENNETH ANDERSON (MD)?
The snapshot lists Ann Arbor, Michigan for JOHN KENNETH ANDERSON (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

IRA ZALTZ (M.D.)

Orthopaedic Surgery Physician
17877 W 14 Mile Rd
NPI: 1992709406

DR. JAMES R HOLMES (MD)

Orthopaedic Surgery Physician
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
NPI: 1972504223

DR. ROBERT A YOUNG (MD)

Orthopaedic Surgery Physician
5315 ELLIOTT DR
NPI: 1760483010

DR. BRIAN A BORDEN (MD)

Sports Medicine (Orthopaedic Surgery) Physician
24 FRANK LLOYD WRIGHT DR LBBY J2000
NPI: 1083615488

DR. BRIAN R HALLSTROM (MD)

Orthopaedic Surgery Physician
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
NPI: 1609877984

DR. DONALD E WILD (MD)

Orthopaedic Surgery Physician
24 FRANK LLOYD WRIGHT DR LBBY J2000
NPI: 1598766883

THOMAS J O'KEEFE (MD)

Orthopaedic Surgery Physician
5315 ELLIOTT DR
NPI: 1730161811
PO BOX 0446 24 FRANK LLOYD WRIGHT DR.
NPI: 1497737589

JOHN DAVID DENZIN (MD)

Orthopaedic Surgery Physician
5315 ELLIOTT DR
NPI: 1013999713