DR. KENNETH D. KLEIST (MD) – Orthopaedic Surgery Physician, NPI 1528047826
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for DR. KENNETH D. KLEIST (MD)
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 435-0000
Fax: (920) 445-7289
Type: Location
820 E Grant St
Appleton, WI 549113483
Phone: (920) 831-5050
Fax: (920) 738-6400
Type: Location
1630 Commanche Ave
Green Bay, WI 543135753
Phone: (920) 430-4888
Fax: (920) 430-4888
Type: Location
820 Arbutus Ave
Oconto, WI 541532004
Phone: (920) 835-1100
Fax: (920) 835-1099
Type: Location
2820 Roosevelt Rd
Marinette, WI 541433834
Phone: (715) 735-5225
Fax: (715) 735-5388
Type: Location
Bellin Health Titletown Sports Medicine and Orthopedics, 1970, South Ridge Road, Green Bay, Brown County, Wisconsin, 54304, United States
GREEN BAY, WI 543044125
Phone: (920) 430-4888
Fax: (920) 430-4889
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7222
Fax: (920) 445-7289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($367).
Total Amount
$400
General + Research + Ownership
Payments
4
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $367 |
| GlaxoSmithKline, LLC. | $33 |
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: 2011-01-04
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 |
|---|---|---|---|---|
| I20110104000493 | I | Orthopedic Surgery | WI | 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 | 133 | 111 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 85 | 52 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 79 | 58 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 61 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 54301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WI | 85610 | Blood test, clotting time | 14 | 13 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physical Therapist In Private Practice | WI |
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