KENNETH J EASTON MD NPI 1194713669

NPI Information

  • NPI: 1194713669
  • Provider Name: KENNETH J EASTON, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 LEFFINGWELL NE
    STE 100
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 459-7101

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NPI Details

Kenneth J Easton, MD is an orthopaedic surgery of the spine orthopaedic surgery in Grand Rapids, MI with 38 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Kenneth J Easton, MD NPI is 1194713669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1987

The provider's business location address is:

1111 LEFFINGWELL NE
STE 100
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7101
Fax: (616) 954-6483

The NPI 1194713669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fusion of spine in lower back (HCPCS:22612)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Computer-assisted spinal procedure (HCPCS:61783)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 10/10/2005 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine4301051829MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F52967MEDICARE UPIN
2OD14869027MEDICARE PIN
30D14869MEDICARE ID-TYPE UNSPECIFIED
4P00240358OTHERRR MEDICARE
54763007MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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