DR. KENNETH MICHAEL KOZLOW (MD) – Orthopaedic Surgery Physician, NPI 1437351780
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
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Provider Addresses for DR. KENNETH MICHAEL KOZLOW (MD)
1111, Leffingwell Avenue Northeast, Grand Rapids, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495256406
Phone: (616) 459-7101
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 2 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: SI-BONE, INC. ($47).
Total Amount
$72
General + Research + Ownership
Payments
2
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $47 |
| Medtronic, Inc. | $25 |
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: 2013-07-24
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 |
|---|---|---|---|---|
| I20130724000421 | I | Orthopedic 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 |
|---|---|---|---|---|
| 72100 | X-ray of lower and sacral spine, 2-3 views | 35 | 23 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 34 | 17 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 27 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 21 | $0 |
Insurance plans in this area (ZIP 49525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| Orthopedic Surgery | NH | |
| Hand Surgery | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physician Assistant | MI |
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