KETNER ORTHOPEDICS PLLC
NPI 1790670958
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Waterford, MI

Q: What is Ketner Orthopedics PLLC's NPI number?

The NPI number for Ketner Orthopedics PLLC is 1790670958. It was assigned to this organization in the NPPES registry on June 10, 2025.

Q: What is Ketner Orthopedics PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Active since June 10, 2025

4000 HIGHLAND RD STE 101, WATERFORD, MI 48328(248) 270-5622(248) 856-2474 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2025, Jun 10, 2025 (2 updates tracked since 2025).

On this page

About Ketner Orthopedics Pllc NPPES

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

KETNER ORTHOPEDICS PLLC (NPI 1790670958) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Waterford, Michigan and active in the NPI registry since June 2025. The organization lists Andrew John Ketner, Owner, as its authorized official.

NPPES Registry Identity

NPI1790670958

Entity TypeOrganization

Primary Taxonomy207XS0114X

Legal Business NameKETNER ORTHOPEDICS PLLC

Location Address4000 HIGHLAND RD STE 101Waterford, MI 48328-2163

Mailing Address4000 Highland Rd Ste 101Waterford, MI 48328-2163 · (248) 270-5622 · Fax (248) 856-2474

Phone(248) 270-5622

Fax(248) 856-2474

Organization SubpartNo

Authorized OfficialAndrew John KetnerOwner · (248) 270-5622

Enumeration DateJune 10, 2025

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1790670958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

4000 HIGHLAND RD STE 101, Waterford, MI 48328

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketner Orthopedics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ketner Orthopedics PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Ketner, D.O.

Orthopedic Surgery

NPI 1043574874

4000 HIGHLAND RD STE 101
Waterford, MI 48328

(248) 270-5622

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ketner Orthopedics PLLC's NPI number?

The NPI number for Ketner Orthopedics PLLC is 1790670958. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Ketner Orthopedics PLLC located?

Ketner Orthopedics PLLC is located at 4000 Highland Rd Ste 101, Waterford, MI 48328. The listed phone number is (248) 270-5622.

What is Ketner Orthopedics PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Ketner Orthopedics PLLC enrolled in Medicare?

Yes. Ketner Orthopedics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ketner Orthopedics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Ketner Orthopedics PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ketner Orthopedics PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ketner Orthopedics PLLC 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.

When was this NPI record last updated?

The NPPES record for Ketner Orthopedics PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.