Active NPI 1801834130 Individual Practitioner Male Practitioner

Dr. John Marshall Ketner , DO

Surgery • Waterford, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ketner, DO is a certified Surgery practicing in Waterford, MI. With approximately 48 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1978, Dr. Ketner delivers high-quality medical care to the local community at 5624 HIGHLAND RD.

Dr. Ketner accepts Medicare assignment.

Frequently performed procedures and clinical services include colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5624 Highland Rd

Waterford, MI 483271926

Telephone 2486749664

Fax 2486745409

Associated Practice Facility / Clinic

🏢 Dana M Busch Do Pllc Facility NPI 1447435706

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waterford, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +8.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Waterford, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketner (48 Years) 48 Yrs

Waterford Specialty Average (40.0 Years) 40.0 Yrs

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
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$800.00	$180.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$500.00	$105.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1000.00	$257.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.00	$168.94
45380 Biopsy of large bowel using an endoscope	12	12	$900.00	$202.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$500.00	$104.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$800.00	$183.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	24	$1000.00	$260.25
45380 Biopsy of large bowel using an endoscope	14	14	$900.00	$206.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$223.15	$174.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$500.00	$102.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$800.00	$195.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1000.00	$267.97
45380 Biopsy of large bowel using an endoscope	16	16	$900.00	$212.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	35	35	$900.00	$215.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$176.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$500.00	$101.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$800.00	$200.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1000.00	$271.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	35	35	$900.00	$220.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$500.00	$104.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	12	$250.00	$213.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1000.00	$280.05
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$100.00	$75.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$159.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	37	$100.00	$75.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	50	$250.00	$210.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$200.00	$162.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$500.00	$109.78
45380 Biopsy of large bowel using an endoscope	31	31	$900.00	$221.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1000.00	$281.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$804.76	$204.24
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$800.00	$191.83
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$100.00	$76.28
49505 Repair of groin hernia (5 years or older)	11	11	$1500.00	$584.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	84	$117.51	$74.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	105	$280.75	$209.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$200.00	$169.83
45378 Diagnostic exam of large bowel using a flexible endoscope	31	29	$800.00	$200.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$500.00	$108.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$800.00	$202.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$156.82	$106.64
45380 Biopsy of large bowel using an endoscope	18	18	$900.00	$220.69
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$100.00	$70.94
43760 Change of stomach feeding, accessed through the skin	14	11	$150.00	$51.29
43246 Insertion of stomach tube using a flexible endoscope	14	14	$750.00	$205.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1250.00	$369.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	63	$108.08	$73.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	55	$273.59	$207.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$200.00	$167.26
45380 Biopsy of large bowel using an endoscope	50	50	$900.00	$216.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	43	43	$802.33	$199.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$500.00	$110.15
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$101.85	$73.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	25	$150.00	$106.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	22	$1000.00	$274.74
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$800.00	$200.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$110.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1228.00	$364.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$164.29	$108.40
36590 Removal of peripheral venous catheter for infusion	12	12	$800.00	$233.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI JK007570

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2125962 (MI)

Commercial Insurance / Payer ID Care Choices

107304 (MI)

Commercial Insurance / Payer ID Cape Id

2856 (MI)

Commercial Insurance / Payer ID Health Alliance Plan Id

E26093 (MI)

Commercial Insurance / Payer ID Blue Cross Blue Shield Id

5630206 (MI)

Commercial Insurance / Payer ID Cigna Id

4621708005 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Dana Busch , DO

Surgery

NPI 1689762577

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2010

Registered at 5624 HIGHLAND RD, WATERFORD, MI 483271926 (Tel: 2486749664)

📍

Updated Business Mailing Address June 24, 2010

Registered at 5624 HIGHLAND RD, WATERFORD, MI 483271926 (Tel: 2486749664)

👤

Provider Name / Credentials Updated June 24, 2010

Recorded as JOHN KETNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Surgery (License #JK007570 in MI)

🟢

Initial NPI Registration & Enumeration June 02, 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: 1801834130

Entity Type:

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

Enumeration Date: June 02, 2006

Last Update: June 24, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5624 Highland Rd

Waterford, MI 483271926

Phone: 2486749664

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.