DR. KENNETH R CERVONE (MD) – Orthopaedic Surgery Physician, NPI 1316937873

DR. KENNETH R CERVONE (MD) is a healthcare provider. based in Saint clair shores, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301058405 (MI). The NPI Number for DR. KENNETH R CERVONE (MD) is 1316937873

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH R CERVONE (MD)
NPI
1316937873
Phone
(586) 779-7970
Address
24715 LITTLE MACK AVE
Enumeration Date
26 October 2005
Last Update Date
19 February 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5864121411
Graduation Year
1991 (35 years ago)
PAC ID
4880591643
Group Practice PAC ID
3375440134
Professional Enrollment ID
I20100115000834
Address ID
MI483153140SH50505RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

Provider Addresses for DR. KENNETH R CERVONE (MD)

  • 24715, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    SUITE 100

    SAINT CLAIR SHORES, MI 480803207

    Phone: (586) 779-7970

    Fax: (586) 779-7748

    Type: Mailing

  • 24715 LITTLE MACK

    STE 100

    ST CLAIR SHORE, MI 48080

    Phone: (586) 779-7970

    Fax: (586) 779-7748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,892.

Total Amount is formed as General ($1,892) + Research ($0) + Ownership ($0) = $1,892.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Stryker Corporation ($936).

Total Amount

$1,892

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2010-01-15

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
I20100115000834IOrthopedic 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
20611Aspiration and/or injection of fluid large joint using ultrasound guidance980182$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose70390$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg288127$0
99213Established patient office or other outpatient visit, 20-29 minutes258158$0
99214Established patient office or other outpatient visit, 30-39 minutes234176$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Provider's Procedures

DR. KENNETH R CERVONE (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI20610Aspiration and/or injection of large joint or joint capsule1111
ORTHOPEDIC SURGERYMI27447Repair of knee joint1816
ORTHOPEDIC SURGERYMI73562X-ray of knee, 3 views6044

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: 3375440134View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Sports Medicine, Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is DR. KENNETH R CERVONE (MD)'s NPI number?
DR. KENNETH R CERVONE (MD)'s NPI is 1316937873 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. KENNETH R CERVONE (MD)?
For scheduling context, DR. KENNETH R CERVONE (MD) is shown as active in the registry.
How would a patient describe DR. KENNETH R CERVONE (MD)'s focus?
For DR. KENNETH R CERVONE (MD), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KENNETH R CERVONE (MD)?
Directory geography for DR. KENNETH R CERVONE (MD) centers on Saint Clair Shores, Michigan.
Does DR. KENNETH R CERVONE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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