DR. JOHN I KHOURY (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1285842468

DR. JOHN I KHOURY (M.D.) is a healthcare provider. based in Holland, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD19196 (ME). The NPI Number for DR. JOHN I KHOURY (M.D.) is 1285842468

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN I KHOURY (M.D.)
NPI
1285842468
Phone
(616) 396-5855
Address
370 N 120TH AVE
Enumeration Date
19 May 2007
Last Update Date
20 February 2017

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163965855
Graduation Year
2003 (23 years ago)
PAC ID
6305016486
Group Practice PAC ID
6002891926
Professional Enrollment ID
I20110829000118
Address ID
MI494242196HO370XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

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Provider Addresses for DR. JOHN I KHOURY (M.D.)

  • 370, 120th Avenue, Holland Charter Township, Ottawa County, Michigan, 49424, United States

    HOLLAND, MI 494242196

    Phone: (616) 396-5855

    Fax: (616) 396-5720

    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 6 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Stryker Corporation ($154).

Total Amount

$247

General + Research + Ownership

Payments

6

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

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: 2011-08-29

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
I20110829000118IOrthopedic 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
73630X-ray of foot, minimum of 3 views12981$0
73610X-ray of ankle, minimum of 3 views9060$0
99213Established patient office or other outpatient visit, 20-29 minutes7466$0
J1040Injection, methylprednisolone acetate, 80 mg5429$0
99214Established patient office or other outpatient visit, 30-39 minutes4943$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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Provider's Procedures

DR. JOHN I KHOURY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI73630X-ray of foot, minimum of 3 views10572

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: 6002891926View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Orthopedic SurgeryMI
Physician AssistantMI
-MI
Hand Surgery, Orthopedic SurgeryMI
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Hand Surgery, Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN I KHOURY (M.D.)?
The federal identifier for DR. JOHN I KHOURY (M.D.) is NPI 1285842468.
Does this profile mean DR. JOHN I KHOURY (M.D.) is currently active?
Yes — DR. JOHN I KHOURY (M.D.) appears active in the national provider directory.
Does DR. JOHN I KHOURY (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Foot and Ankle Surgery Physician for DR. JOHN I KHOURY (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JOHN I KHOURY (M.D.) practice in Michigan?
You will see Holland, Michigan on file for DR. JOHN I KHOURY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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