Individual provider Active NPI

Steven Matthew Hubert, PAC

  • Surgical Physician Assistant
  • Waterford, MI
National Provider Identifier
1124065131
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Phone
(248) 270-5622
Fax
(248) 856-2474
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X Primary
Medical Physician Assistant 363AM0700X

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

Other identifiers 1

IdentifierTypeStateIssuer
1061022OtherMINCCPA CERTIFICATE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000029 MI Practitioner - Physician Assistant 3476654344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ketner Orthopedics PLLCGroup PAC ID 5991293599, 2 clinicians

Practice addresses (Care Compare)

5624 Highland Rd
Waterford, MI 48327-1926
Phone (248) 515-1859

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dana M Busch DO PLLC CurrentSince Jan 18, 2026 Accepting new patients
Ketner Orthopedics PLLC CurrentSince Jan 18, 2026 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4000 Highland Rd
Ste 101
Waterford, MI 48328
Phone (248) 270-5622

5624 Highland Rd
Waterford, MI 48327
Phone (248) 674-4110

Interoperability endpoints

  • Direct secure messaging: shubert@direct.dmc.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1124065131",
    "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": "HUBERT",
        "first_name": "STEVEN",
        "middle_name": "MATTHEW",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATE NUMBER",
            "identifier": "1061022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.