Dr. William Kesto, MD
26750 Providence Pkwy, Ste 200, Novi, MI 48374 • +1-552-555-8747
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Novi Percentiles
NPI #1609006279 • CBSA Regional • Orthopedic Surgery
Dr. William Kesto, MD (NPI #1609006279) practices Orthopedic Surgery in Novi, MI (48374) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 2,403 annual CMS services across 313 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Novi percentile) (-0.31σ vs MI state mean, 56.36th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Kesto (averaging 7.7 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 17% of tracked volume (408 encounters), paired with 20610 (306x).
Cash-pay intake data for NPI 1609006279 (26750 Providence Pkwy, Ste 200, Novi) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.45/5 biomarker openness.
Clinical background for Dr. Kesto (MD, NPI #1609006279) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across MI.
Compared against Novi, MI Orthopedic Surgery peers
2,403 annual services across 313 beneficiaries
Standard deviations from MI Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 408 | 66.67th | $89 – $122 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 306 | 63.67th | $95 – $130 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 215 | 69.67th | $53 – $73 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 125 | 69.67th | $128 – $175 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 79 | 67.67th | $824 – $1129 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 1,271 | 66.67th | $101 – $146 |
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Dr. William Kesto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kesto National Provider Identifier | NPI #1609006279 (MD) | CMS NPPES Registry (48374) |
| Dr. Kesto Novi CMS Volume Rank | 66.67th Pct (2,403 CMS svcs; Z -0.311σ) | CMS Medicare Part B (MI Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Novi, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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