Deactivated NPI 1447239967 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth J Edwards , MD

Orthopaedic Surgery • Saint Joseph, MI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 12, 2006

NPI Deactivation Date December 04, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Edwards, MD was a registered Orthopaedic Surgery practicing in Saint Joseph, MI. Throughout an active medical career spanning 19 years, Dr. Edwards provided care at the practice location at 183 PEACE BLVD until profile deactivation on 2025-12-04.

Historical Medicare Part B clinical services included injection, triamcinolone acetonide, not otherwise specified, 10 mg, therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

183 Peace Blvd

Saint Joseph, MI 490859146

Telephone 2694283500

Associated Practice Facility / Clinic

🏢 Southwest Michigan Center For Orthopaedic And Sports Medicine P Facility NPI 1104913094

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Saint Joseph, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Saint Joseph, MI (1014 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	398	73	$9.89	$0.95
97530 Therapy procedure using functional activities	392	29	$80.00	$31.26
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	356	33	$73.00	$22.28
99213 Established patient office or other outpatient visit, typically 15 minutes	210	167	$162.26	$88.82
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	168	19	$76.00	$26.68
97140 Therapy procedure using manual technique, each 15 minutes	165	20	$68.00	$21.04
73564 X-ray of knee, 4 or more views	96	68	$89.10	$43.33
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	94	15	$45.00	$8.97
20610 Aspiration and/or injection of fluid from large joint	79	65	$140.25	$65.41
73030 X-ray of shoulder, minimum of 2 views	38	31	$82.00	$33.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$247.06	$109.57
73502 X-ray of hip, 2-3 views	24	24	$99.50	$44.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$204.00	$126.51
20985 Computer-assisted surgery for muscle and bone procedure	15	15	$387.53	$147.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,063	184	$9.85	$1.05
99213 Established patient office or other outpatient visit, typically 15 minutes	532	331	$162.21	$86.74
73564 X-ray of knee, 4 or more views	242	162	$89.14	$43.24
20610 Aspiration and/or injection of fluid from large joint	236	170	$143.03	$64.23
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	166	25	$73.00	$21.86
97530 Therapy procedure using functional activities	136	20	$80.00	$29.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$243.44	$107.73
73502 X-ray of hip, 2-3 views	115	91	$99.61	$43.34
73030 X-ray of shoulder, minimum of 2 views	95	70	$80.99	$31.45
97140 Therapy procedure using manual technique, each 15 minutes	51	11	$68.00	$20.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$208.87	$123.80
73110 X-ray of wrist, minimum of 3 views	44	29	$77.14	$37.35
20985 Computer-assisted surgery for muscle and bone procedure	37	34	$385.86	$143.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$393.00	$170.77
73610 X-ray of ankle, minimum of 3 views	31	18	$74.87	$33.07
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	30	11	$76.00	$25.61
27447 Replacement of knee joint, both sides of knee	28	27	$3865.93	$1267.49
73562 X-ray of knee, 3 views	19	18	$82.32	$35.55
20600 Aspiration and/or injection of fluid from small joint	16	12	$130.00	$41.71
73130 X-ray of hand, minimum of 3 views	12	11	$73.75	$32.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,148	187	$9.94	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	474	293	$162.04	$88.08
20610 Aspiration and/or injection of fluid from large joint	250	185	$165.42	$66.02
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	247	47	$73.00	$22.69
73564 X-ray of knee, 4 or more views	236	157	$89.08	$44.06
97530 Therapy procedure using functional activities	174	34	$80.00	$31.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$243.36	$108.47
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	114	31	$76.00	$26.71
73502 X-ray of hip, 2-3 views	112	88	$100.00	$43.13
97140 Therapy procedure using manual technique, each 15 minutes	99	22	$68.00	$20.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	86	$204.00	$124.09
73030 X-ray of shoulder, minimum of 2 views	75	62	$80.93	$32.69
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	68	15	$45.00	$8.92
20985 Computer-assisted surgery for muscle and bone procedure	37	34	$375.00	$144.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$393.00	$194.00
27447 Replacement of knee joint, both sides of knee	25	23	$3800.00	$1270.78
73610 X-ray of ankle, minimum of 3 views	21	12	$74.62	$33.74
97161 Evaluation of physical therapy, typically 20 minutes	12	12	$170.00	$86.15
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3500.00	$1215.30
73080 X-ray of elbow, minimum of 3 views	11	11	$81.00	$31.29
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3500.00	$1276.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,192	201	$10.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	507	326	$162.00	$88.22
20610 Aspiration and/or injection of fluid from large joint	253	187	$196.01	$64.96
73564 X-ray of knee, 4 or more views	243	171	$89.00	$43.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$243.00	$108.53
73502 X-ray of hip, 2-3 views	143	109	$100.00	$42.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	114	$204.00	$125.23
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	95	26	$73.00	$23.34
73030 X-ray of shoulder, minimum of 2 views	86	69	$82.00	$31.60
97530 Therapy procedure using functional activities	65	22	$80.00	$33.29
73610 X-ray of ankle, minimum of 3 views	42	27	$75.00	$33.67
20985 Computer-assisted surgery for muscle and bone procedure	42	39	$375.00	$146.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$393.00	$197.44
27447 Replacement of knee joint, both sides of knee	25	23	$3800.00	$1256.53
73110 X-ray of wrist, minimum of 3 views	23	14	$75.00	$38.51
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	22	11	$45.00	$9.75
20600 Aspiration and/or injection of fluid from small joint	21	17	$136.19	$41.39
97140 Therapy procedure using manual technique, each 15 minutes	21	13	$68.00	$21.50
73130 X-ray of hand, minimum of 3 views	18	12	$75.00	$34.66
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$3500.00	$1244.43
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$142.00	$44.23
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3500.00	$1229.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,358	231	$10.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	596	364	$162.00	$73.12
20610 Aspiration and/or injection of fluid from large joint	290	219	$198.00	$63.47
73564 X-ray of knee, 4 or more views	213	153	$89.00	$41.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	173	173	$243.00	$105.26
73502 X-ray of hip, 2-3 views	148	109	$100.00	$40.55
73030 X-ray of shoulder, minimum of 2 views	96	74	$82.00	$30.92
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	72	20	$73.00	$19.49
73562 X-ray of knee, 3 views	66	52	$82.00	$36.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$393.00	$203.01
20985 Computer-assisted surgery for muscle and bone procedure	45	42	$375.00	$150.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$204.00	$107.11
73610 X-ray of ankle, minimum of 3 views	32	26	$75.00	$33.18
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	30	11	$76.00	$27.45
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	27	11	$45.00	$7.37
27447 Replacement of knee joint, both sides of knee	25	23	$3800.00	$1379.48
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$3500.00	$1385.71
73130 X-ray of hand, minimum of 3 views	18	12	$75.00	$33.33
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$3700.00	$1478.73
73080 X-ray of elbow, minimum of 3 views	15	14	$81.00	$29.53
73522 X-ray of both hips, 3-4 views	15	15	$115.00	$49.53
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3498.71	$1251.19
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$142.00	$45.92
73552 X-ray of thigh bone, minimum 2 views	13	12	$77.00	$31.21
73560 X-ray of knee, 1-2 views	12	12	$74.00	$29.96
29881 Removal of knee cartilage using an endoscope	12	12	$1500.00	$545.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,572	261	$10.00	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	740	453	$162.00	$71.20
20610 Aspiration and/or injection of fluid from large joint	325	247	$198.63	$60.72
73502 X-ray of hip, 2-3 views	172	140	$100.00	$36.76
73564 X-ray of knee, 4 or more views	169	140	$89.00	$38.87
73562 X-ray of knee, 3 views	169	113	$82.00	$34.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$243.00	$104.17
73030 X-ray of shoulder, minimum of 2 views	60	52	$82.00	$28.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$204.00	$103.93
20985 Computer-assisted surgery for muscle and bone procedure	57	56	$375.00	$148.66
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	43	15	$73.00	$23.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$396.33	$199.96
27447 Replacement of knee joint, both sides of knee	41	40	$3707.32	$1305.70
73610 X-ray of ankle, minimum of 3 views	26	18	$75.00	$27.79
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$3347.83	$1262.65
20600 Aspiration and/or injection of fluid from small joint	20	17	$149.50	$42.34
73020 X-ray of shoulder, 1 view	19	15	$66.00	$20.29
73522 X-ray of both hips, 3-4 views	19	19	$115.00	$45.74
73560 X-ray of knee, 1-2 views	19	15	$74.00	$28.18
27245 Treatment of broken neck of thigh bone with bone implant	17	17	$3488.12	$1234.68
73130 X-ray of hand, minimum of 3 views	16	16	$75.00	$29.94
73110 X-ray of wrist, minimum of 3 views	15	14	$75.00	$32.79
73140 X-ray of finger, minimum of 2 views	14	12	$59.00	$31.73
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$142.00	$44.40
29881 Removal of knee cartilage using an endoscope	11	11	$1500.00	$538.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,482	246	$9.95	$1.75
99213 Established patient office or other outpatient visit, typically 15 minutes	704	436	$161.39	$65.14
20610 Aspiration and/or injection of fluid from large joint	302	228	$206.65	$58.35
73502 X-ray of hip, 2-3 views	192	140	$100.00	$33.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	190	190	$240.24	$97.38
73562 X-ray of knee, 3 views	183	119	$82.00	$31.19
73564 X-ray of knee, 4 or more views	137	112	$89.00	$35.02
73030 X-ray of shoulder, minimum of 2 views	76	68	$82.00	$25.46
20985 Computer-assisted surgery for muscle and bone procedure	49	46	$374.90	$139.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$393.00	$187.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$203.89	$97.87
73020 X-ray of shoulder, 1 view	31	24	$66.00	$20.49
27447 Replacement of knee joint, both sides of knee	31	29	$3788.90	$1272.15
73110 X-ray of wrist, minimum of 3 views	30	20	$75.00	$28.46
20600 Aspiration and/or injection of fluid from small joint	24	20	$146.25	$40.45
73610 X-ray of ankle, minimum of 3 views	21	16	$75.00	$26.07
73130 X-ray of hand, minimum of 3 views	18	12	$75.00	$28.21
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$3500.00	$1270.64
73560 X-ray of knee, 1-2 views	17	13	$74.00	$26.34
73080 X-ray of elbow, minimum of 3 views	17	17	$81.00	$25.17
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$142.00	$42.97
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$2750.00	$1119.25
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3500.00	$1151.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,372	240	$10.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	634	395	$162.00	$66.18
20610 Aspiration and/or injection of fluid from large joint	310	234	$199.26	$57.47
73562 X-ray of knee, 3 views	207	135	$82.40	$31.43
73502 X-ray of hip, 2-3 views	174	118	$100.00	$35.04
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	154	30	$59.00	$23.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$243.00	$98.30
73564 X-ray of knee, 4 or more views	136	110	$90.31	$36.00
97530 Therapy procedure using functional activities	89	25	$64.00	$28.75
73030 X-ray of shoulder, minimum of 2 views	86	74	$82.95	$26.36
20985 Computer-assisted surgery for muscle and bone procedure	56	53	$375.00	$139.13
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	45	16	$61.00	$25.30
97140 Therapy procedure using manual technique, each 15 minutes	43	13	$55.00	$21.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$393.00	$187.84
27447 Replacement of knee joint, both sides of knee	32	29	$3800.00	$1269.37
73610 X-ray of ankle, minimum of 3 views	23	16	$75.00	$28.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$204.00	$98.34
73020 X-ray of shoulder, 1 view	20	12	$66.00	$19.18
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$3500.00	$1270.00
73130 X-ray of hand, minimum of 3 views	17	15	$79.41	$29.18
73140 X-ray of finger, minimum of 2 views	16	11	$59.00	$28.00
29881 Removal of knee cartilage using an endoscope	15	15	$1500.00	$502.08
20600 Aspiration and/or injection of fluid from small joint	13	12	$130.00	$35.58
73110 X-ray of wrist, minimum of 3 views	13	12	$80.77	$32.19
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3500.00	$1150.87
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$139.00	$74.33

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301061344

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners

Rebecca Walter , NP

Nurse Practitioner

NPI 1174833560

Nurse Practitioner

Dr. Justin Sybesma , MD

Orthopaedic Surgery

NPI 1376732016

Doctor of Medicine (M.D.)

Dr. James Burczak , DO

Orthopaedic Surgery

NPI 1417936931

Doctor of Osteopathic Medicine (D.O.)

Dr. Joseph Farber , MD

Orthopaedic Surgery

NPI 1477756062

Doctor of Medicine (M.D.)

Dr. Josiah Thompson , DPT

Physical Therapist

NPI 1538038419

Doctor of Physical Therapy

James Bozyk , PA

Physician Assistant

NPI 1699403238

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated December 04, 2025

Record deactivated on December 04, 2025

✅

NPI Profile Active September 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2010

Registered at 183 PEACE BLVD, SAINT JOSEPH, MI 490859146 (Tel: 2694283500)

📍

Updated Business Mailing Address September 09, 2010

Registered at 183 PEACE BLVD, SAINT JOSEPH, MI 490859146 (Tel: 2694283500)

👤

Provider Name / Credentials Updated September 09, 2010

Recorded as KENNETH EDWARDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2010

Orthopaedic Surgery (License #4301061344 in MI)

🟢

Initial NPI Registration & Enumeration January 12, 2006

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: 1447239967

Entity Type:

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

Enumeration Date: January 12, 2006

Last Update: September 09, 2010

Deactivation Date: December 04, 2025

Update or Correct Profile

Mailing Address

183 Peace Blvd

Saint Joseph, MI 490859146

Phone: 2694283500

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.