JESSICA LEIGH KETO (MD) – Surgery Physician, NPI 1356569933

JESSICA LEIGH KETO (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301085967 (MI). The NPI Number for JESSICA LEIGH KETO (MD) is 1356569933

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LEIGH KETO (MD)
NPI
1356569933
Phone
(616) 685-1808
Address
245 STATE ST SE
Enumeration Date
21 April 2007
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2693417145
Graduation Year
2005 (21 years ago)
PAC ID
0345428678
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20110708000523
Address ID
MI490075352KA601XXSTXX303

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,444 GENERAL SURGERY in MI

Provider Addresses for JESSICA LEIGH KETO (MD)

  • 245 STATE ST SE

    STE 228

    GRAND RAPIDS, MI 49503

    Phone: (616) 685-1808

    Fax: (616) 685-1850

    Type: Mailing

  • 250 CHERRY ST SE

    GRAND RAPIDS, MI 49503

    Phone: (616) 685-5714

    Fax: (616) 685-5260

    Type: Location

  • 601 John St Ste M-515

    Kalamazoo, MI 490075352

    Phone: (269) 341-7145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Stryker Corporation ($36).

Total Amount

$118

General + Research + Ownership

Payments

5

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

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: 2011-07-08

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
I20110708000523IGeneral 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
99205New patient office or other outpatient visit, 60-74 minutes4040$0
19301Partial removal of breast2724$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What NPI should I save for JESSICA LEIGH KETO (MD)?
Save NPI 1356569933 if you need a stable reference for JESSICA LEIGH KETO (MD).
Is JESSICA LEIGH KETO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JESSICA LEIGH KETO (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for JESSICA LEIGH KETO (MD). Clinical services aligned with this taxonomy classification.
Where is JESSICA LEIGH KETO (MD)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for JESSICA LEIGH KETO (MD).
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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