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DR. KENNETH P HIGHHOUSE M.D.
NPI 1184668758
Orthopaedic Surgery in Kalamazoo, MI

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
315 TURWILL LN, KALAMAZOO, MI 49006(269) 343-8170(269) 382-2388 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth P Highhouse M.d. NPPES

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

DR. KENNETH P HIGHHOUSE M.D. (NPI 1184668758) is an individual orthopaedic surgery provider in Kalamazoo, Michigan, licensed in Michigan (4301056098) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and is a graduate of University Of South Florida College Of Medicine (1990).

NPPES Registry Identity

NPI1184668758
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KENNETH P HIGHHOUSECredential: M.D.
Location Address315 TURWILL LNKalamazoo, MI 49006-4231
Mailing Address315 Turwill LnKalamazoo, MI 49006-4231 · (269) 343-8170 · Fax (269) 382-2388
Phone(269) 343-8170
Fax(269) 382-2388
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1990
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 12, 2020
✔ NPI 1184668758 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 · 4301056098
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.
315 TURWILL LN, Kalamazoo, MI 49006
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Other Identifiers 6

Other155408Great Lakes Hlth Pln
Other4668339Aetna Pin
Other200C911390MI · Bcbs Grp Pin
Medicaid4425592-10MI
Medicaid1184668758MI
Other2003901651MI · Bcbs Ind Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

Dr. Kenneth P Highhouse 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 ID3870480882
PECOS Enrollment IDI20051208000763
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 9

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 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.
51 services43 patients
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.
44 services33 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
29 services27 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.
27 services27 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
23 services22 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49006 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

JOSEPH HORJUS PT, DPT, AT, ATC,
Physical Therapist (Orthopedic)
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 488-7380
REGINA B MC PHERSON P.T.
Physical Therapist
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 343-8170
MRS. GRETCHEN LYNN MOHNEY MA, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 343-8170
DR. ROBERT L HIGHHOUSE M.D.
Orthopaedic Surgery
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 343-8170
MS. DANIELLE SAMANTHA CHRISTINA LIBIRAN PA-C
Physician Assistant (Surgical)
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 343-8170
SCOTT ALLISON ATC
Specialist/Technologist (Athletic Trainer)
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (269) 343-8170
SPECTRABRACE, LTD.
Prosthetic/Orthotic Supplier
315 TURWILL LN, SUITE A
KALAMAZOO, MI 49006
Kalamazoo County (269) 381-0503
CODY JACOB LINDHORST ATC
Specialist/Technologist (Athletic Trainer)
315 TURWILL LN
KALAMAZOO, MI 49006
Kalamazoo County (231) 499-6477

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 Kenneth Highhouse's NPI number?

The NPI number for Kenneth Highhouse is 1184668758. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Kenneth Highhouse located?

Kenneth Highhouse practices at 315 Turwill Ln, Kalamazoo, MI 49006. The listed phone number is (269) 343-8170.

What is Kenneth Highhouse's specialty?

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

Is Kenneth Highhouse enrolled in Medicare?

Yes. Kenneth Highhouse 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 Kenneth Highhouse accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Kenneth Highhouse 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 Kenneth Highhouse affiliated with any hospitals?

According to CMS data, Kenneth Highhouse is affiliated with Three Rivers Health, Bronson Methodist Hospital, Bronson South Haven Hospital, Borgess Medical Center and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Highhouse was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.