DR. KENNETH R CERVONE MD NPI 1316937873

NPI Information

  • NPI: 1316937873
  • Provider Name: DR. KENNETH R CERVONE, MD
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24715 LITTLE MACK
    STE 100
    ST CLAIR SHORE, MI
    ZIP 48080
  • Phone: (586) 779-7970

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NPI Details

DR. Kenneth R Cervone, MD is an orthopaedic surgery in St Clair Shore, MI with 34 years of experience. The provider is 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. DR. Kenneth R Cervone, MD NPI is 1316937873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

24715 LITTLE MACK
STE 100
ST CLAIR SHORE, MI
ZIP 48080
Phone: (586) 779-7970
Fax: (586) 779-7748

The NPI 1316937873 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.

  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 10/26/2005 and was last updated on 2/19/2014.

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
1207X00000XOrthopaedic Surgery4301058405MICHIGANYes

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
13250375MEDICAIDMICHIGAN
2G24274MEDICARE UPIN

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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