DR. KENNETH M PETERS (MD) – Urology Physician, NPI 1417948944
Urology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
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Provider Addresses for DR. KENNETH M PETERS (MD)
1915, East 14 Mile Road, Kenning, Birmingham, Oakland County, Michigan, 48009, United States
BIRMINGHAM, MI 480097244
Phone: (248) 642-4474
Fax: (248) 642-4499
Type: Mailing
1915 E 14 Mile Rd
Birmingham, MI 480097244
Phone: (248) 642-4474
Fax: (248) 642-4499
Type: Location
3535 W 13 Mile Rd Ste 404
Royal Oak, MI 480736770
Phone: (248) 551-3535
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-0898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $10,801.
Total Amount is formed as General ($2,877) + Research ($7,924) + Ownership ($0) = $10,801.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: COLOPLAST CORP ($10,232).
Total Amount
$10,801
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,877
General payments
Research Amount
$7,924
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $10,232 |
| Medtronic, Inc. | $366 |
| Laborie Medical Technologies Corp. | $82 |
| Boston Scientific Corporation | $46 |
| Curonix LLC | $27 |
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: 2007-07-20
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 |
|---|---|---|---|---|
| I20070720000882 | I | Urology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 142 | $0 |
| 95971 | Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming | 54 | 33 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 38 | 38 | $0 |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 34 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
Insurance plans in this area (ZIP 48009)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | MI | 51798 | Ultrasound measurement of bladder capacity after voiding | 198 | 133 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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