Active NPI
Andrew John Ketner, D.O.
- Orthopaedic Surgery Physician
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101019855
- Practice address
- 4000 Highland Rd Ste 101
Waterford, MI 48328-2163 - Phone
- (248) 270-5622
- Fax
- (248) 856-2474
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101019855 | MI | Primary |
Addresses
Primary practice location
4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Mailing address
4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Phone (248) 270-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5624 Highland Rd
Waterford, MI 48327-1926
Phone (248) 515-1859
Hospital & facility affiliations
- Parc Home Care
- Huron Valley-Sinai Hospital
- Rehabilitation Institute of Michigan
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.26 of 100
- Quality
- 64.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019855 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Dana M Busch DO PLLC | Current | Accepting new patients | |
| Ketner Orthopedics PLLC | Current | Accepting new patients |
Locations
1 William Carls Dr
Ste 230
Commerce Twp, MI 48382
Phone (248) 360-4507
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
311 Mack Ave
Fl 5
Detroit, MI 48201
Phone (313) 832-0500
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
4000 Highland Rd
Ste 101
Waterford, MI 48328
Phone (248) 270-5622
5624 Highland Rd
Waterford, MI 48327
Phone (248) 674-4110
Interoperability endpoints
- andrewketner@ketner.directglo.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Waterford, MI
- NPI 1790670958
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Surgery Physician
- Waterford, MI
- NPI 1447435706
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmington Hills, MI
- NPI 1194906776
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1043574874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 HIGHLAND RD STE 101",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282163",
"telephone_number": "248-270-5622",
"fax_number": "248-856-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HIGHLAND RD STE 101",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282163",
"telephone_number": "248-270-5622",
"fax_number": "248-856-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETNER",
"first_name": "ANDREW",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101019855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.