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KIMBERLY LES M.D.
NPI 1114986478
Orthopaedic Surgery in Royal Oak, MI

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3577 W 13 MILE RD, STE. 402, ROYAL OAK, MI 48073(248) 551-9910 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Les M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LES M.D. (NPI 1114986478) is an individual orthopaedic surgery provider in Royal Oak, Michigan, licensed in Michigan (4301059324) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of George Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1114986478
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameKIMBERLY LESCredential: M.D.
Location Address3577 W 13 MILE RD, STE. 402Royal Oak, MI 48073-6710
Mailing Address750 Stephenson HwyTroy, MI 48083-1103 · (248) 577-3511 · Fax (248) 577-3526
Phone(248) 551-9910
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1992
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1114986478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301059324
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3577 W 13 MILE RD, Royal Oak, MI 48073
Open in Google Maps ↗

Other Identifiers 2

Medicaid3518786MI
Other110F361660MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Les M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42354573
PECOS Enrollment IDI20100222000090
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$14.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW BURNS COTANT M.D.
Internal Medicine (Hematology & Oncology)
3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073
Oakland County (248) 551-6900
DR. JEFFRY BRUCE HILLENBERG PH.D.
Psychologist (Clinical)
3577 W 13 MILE RD, SUITE 142
ROYAL OAK, MI 48073
Oakland County (248) 892-4364
RICHARD ZEKMAN DO
Internal Medicine (Medical Oncology)
3577 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3446
MRS. CAROL PAPPAS APPEL N.P.
Nurse Practitioner
3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073
Oakland County (248) 551-6900
MICHIGAN HEALTHCARE PROFESSIONALS PC
Clinical Medical Laboratory
3577 W 13 MILE RD, SUITE 103
ROYAL OAK, MI 48073
Oakland County (248) 288-4510
MEGHAN NICOLE MATEKEL PA-C
Physician Assistant (Surgical)
3577 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-1325
DR. MICHAEL J STENDER M.D.
Internal Medicine (Hematology & Oncology)
3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073
Oakland County (248) 551-6900
MS. RUTH ANN DEIN BSN, MA, NCC, LPC
Counselor
3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073
Oakland County (248) 551-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Les's NPI number?

The NPI number for Kimberly Les is 1114986478. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Kimberly Les located?

Kimberly Les practices at 3577 W 13 Mile Rd Ste. 402, Royal Oak, MI 48073. The listed phone number is (248) 551-9910.

What is Kimberly Les's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kimberly Les enrolled in Medicare?

Yes. Kimberly Les is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Les accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Kimberly Les as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Les affiliated with any hospitals?

According to CMS data, Kimberly Les is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Kimberly Les was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.