Active NPI 1750377966 Individual Practitioner Male Practitioner

Dr. Kenton Lee Waterbrook , DO

Orthopaedic Surgery • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kenton Waterbrook, DO is a registered healthcare professional specializing in Orthopaedic Surgery in Lansing, MI. Practice services are available at 3370 E JOLLY RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3370 E Jolly Rd

Lansing, MI 489108552

Telephone 5174873717

Fax 5174873472

Associated Practice Facility / Clinic

🏢 Lansing Orthopedic Pc Facility NPI 1528096963

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lansing, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Lansing, MI (1014 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	43	14	$10.00	$6.77
20610 Aspiration and/or injection of fluid from large joint	31	17	$206.00	$58.10
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$100.00	$88.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$141.00	$108.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	165	55	$10.00	$6.78
20610 Aspiration and/or injection of fluid from large joint	152	59	$206.00	$53.46
99213 Established patient office or other outpatient visit, typically 15 minutes	112	74	$98.84	$88.03
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	73	11	$231.75	$75.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$141.00	$106.66
73564 X-ray of knee, 4 or more views	17	15	$123.60	$37.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$136.00	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	186	62	$10.00	$7.07
20610 Aspiration and/or injection of fluid from large joint	138	61	$206.00	$52.47
99213 Established patient office or other outpatient visit, typically 15 minutes	130	98	$90.00	$69.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$141.00	$99.48
73564 X-ray of knee, 4 or more views	21	16	$123.60	$35.40
73562 X-ray of knee, 3 views	21	18	$92.70	$30.73
27447 Replacement of knee joint, both sides of knee	17	17	$4120.00	$1311.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$136.00	$102.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	298	97	$10.00	$6.79
20610 Aspiration and/or injection of fluid from large joint	257	108	$206.00	$51.22
99213 Established patient office or other outpatient visit, typically 15 minutes	216	150	$90.00	$69.16
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	108	19	$231.75	$79.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$215.00	$154.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	66	$136.00	$101.81
73564 X-ray of knee, 4 or more views	52	45	$123.60	$32.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$141.00	$99.08
27447 Replacement of knee joint, both sides of knee	29	29	$4120.00	$1279.66
73562 X-ray of knee, 3 views	25	23	$92.70	$29.02
73502 X-ray of hip, 2-3 views	22	18	$95.00	$32.69
73030 X-ray of shoulder, minimum of 2 views	20	17	$77.25	$24.09
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$2575.00	$157.36
29880 Removal of both knee cartilages using an endoscope	11	11	$2781.00	$500.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	320	112	$10.00	$7.05
20610 Aspiration and/or injection of fluid from large joint	256	125	$206.00	$52.23
99213 Established patient office or other outpatient visit, typically 15 minutes	188	138	$90.00	$67.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$215.00	$152.34
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	97	18	$231.75	$85.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	79	$136.00	$100.97
73564 X-ray of knee, 4 or more views	61	53	$123.60	$32.68
73502 X-ray of hip, 2-3 views	41	32	$95.00	$34.36
73562 X-ray of knee, 3 views	31	27	$92.70	$28.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$141.00	$101.38
73030 X-ray of shoulder, minimum of 2 views	23	19	$77.25	$24.28
72170 X-ray of pelvis, 1-2 views	21	21	$77.25	$26.90
27447 Replacement of knee joint, both sides of knee	17	17	$4120.00	$1308.91
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$4120.00	$1310.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	271	103	$10.00	$6.85
20610 Aspiration and/or injection of fluid from large joint	261	110	$206.00	$48.38
99213 Established patient office or other outpatient visit, typically 15 minutes	198	153	$90.00	$65.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	179	179	$215.00	$143.59
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	121	19	$231.75	$85.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	71	$136.00	$96.71
73564 X-ray of knee, 4 or more views	67	54	$123.60	$34.31
73502 X-ray of hip, 2-3 views	46	39	$95.00	$35.63
73562 X-ray of knee, 3 views	35	31	$92.70	$30.61
73030 X-ray of shoulder, minimum of 2 views	30	25	$77.25	$24.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$141.00	$94.53
27447 Replacement of knee joint, both sides of knee	23	21	$4120.00	$1252.44
29881 Removal of knee cartilage using an endoscope	21	21	$2575.00	$387.92
72170 X-ray of pelvis, 1-2 views	19	19	$77.25	$26.81
29880 Removal of both knee cartilages using an endoscope	12	11	$2781.00	$357.92

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI KW008742

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1912972 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Linda Hughson , OPA-C RN

Orthopaedic Surgery

NPI 1063672657

OPACRN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2011

Registered at 3370 E JOLLY RD, LANSING, MI 489108552 (Tel: 5174873717)

📍

Updated Business Mailing Address August 12, 2011

Registered at 3370 E JOLLY RD, LANSING, MI 489108552 (Tel: 5174873717)

👤

Provider Name / Credentials Updated August 12, 2011

Recorded as KENTON WATERBROOK, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2011

Orthopaedic Surgery (License #KW008742 in MI)

🟢

Initial NPI Registration & Enumeration September 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750377966

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2005

Last Update: August 12, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3370 E Jolly Rd

Lansing, MI 489108552

Phone: 5174873717

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.