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JOHN MARSHALL KETNER D.O.
NPI 1801834130
Surgery in Waterford, MI

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
5624 HIGHLAND RD, WATERFORD, MI 48327(248) 674-9664(248) 674-5409 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Marshall Ketner D.o. NPPES

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

JOHN MARSHALL KETNER D.O. (NPI 1801834130) is an individual surgery provider in Waterford, Michigan, licensed in Michigan (JK007570) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of Michigan State University College Of Osteopathic Medicine (1978).

NPPES Registry Identity

NPI1801834130
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN MARSHALL KETNERCredential: D.O.
Location Address5624 HIGHLAND RDWaterford, MI 48327-1926
Mailing Address5624 Highland RdWaterford, MI 48327-1926 · (248) 674-9664 · Fax (248) 674-5409
Phone(248) 674-9664
Fax(248) 674-5409
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1978
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1801834130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · JK007570
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5624 HIGHLAND RD, Waterford, MI 48327
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Other Identifiers 8

Other107304MI · Care Choices
Other4621708005MI · Cigna Id
Medicare UPINE26093MI
Other2856MI · Cape Id
Medicare ID-Type Unspecified5630206MI · Medicare Id Number
Medicaid2125962MI
OtherE26093MI · Health Alliance Plan Id
Other5630206MI · Blue Cross Blue Shield Id

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

John Marshall Ketner D.o. 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 ID2264480532
PECOS Enrollment IDI20050104000730
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 5

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.

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
29 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 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.
13 services13 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48327 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.

Other Providers at the Same Location NPPES 2

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

DANA M BUSCH DO PLLC
Surgery
5624 HIGHLAND RD
WATERFORD, MI 48327
Oakland County (248) 674-4110
DANA M BUSCH DO
Surgery
5624 HIGHLAND RD
WATERFORD, MI 48327
Oakland County (248) 674-4110

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 John Ketner's NPI number?

The NPI number for John Ketner is 1801834130. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is John Ketner located?

John Ketner practices at 5624 Highland Rd, Waterford, MI 48327. The listed phone number is (248) 674-9664.

What is John Ketner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Ketner enrolled in Medicare?

Yes. John Ketner 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 John Ketner 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 2 other insurers list John Ketner 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 John Ketner affiliated with any hospitals?

According to CMS data, John Ketner is affiliated with Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for John Ketner was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.