JESSICA LEIGH KETO (MD) – Surgery Physician, NPI 1356569933
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Stryker Corporation | $36 |
| Ethicon US, LLC | $29 |
| Elucent Medical | $21 |
| Tempus AI, Inc | $20 |
| KUB Technologies Inc. | $12 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110708000523 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 40 | 40 | $0 |
| 19301 | Partial removal of breast | 27 | 24 | $0 |
Insurance plans in this area (ZIP 49503)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hand Surgery, Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Endocrinology, Internal Medicine | MI | |
| Clinical Social Worker | MI | |
| Internal Medicine | MI |
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