Medicare Enrolled

Dr. William Kesto, MD

Optician · Novi, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
26750 PROVIDENCE PKWY, Novi, MI 48374
8669742673
In practice since 2009 (17 years)
NPI: 1609006279 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kesto from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Kesto? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kesto

Dr. William Kesto is an optician specialist in Novi, MI, with 17 years of NPI registration. Based on federal Medicare data, Dr. Kesto performed 2,043 Medicare services across 956 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kesto received a total of $57,980 from 17 pharmaceutical and/or device companies across 163 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kesto is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ Top 18% volume in MI $57,980 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,043
Medicare services
Top 18% in MI for optician
956
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~120 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,040 $1 $3
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
232 $26 $81
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
174 $51 $168
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
152 $67 $221
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
135 $89 $315
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
82 $76 $272
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
80 $32 $109
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
47 $13 $73
Total shoulder joint prosthetic repair
Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function.
20 $1,227 $3,588
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
20 $29 $95
Manual therapy (hands-on treatment), per 15 min 19 $14 $67
Computer-assisted surgery for muscle and bone procedure
A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution.
15 $126 $361
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
15 $69 $409
Total knee replacement 12 $1,111 $3,183
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.3% high complexity
59.4% medium
39.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$57,980
Total received (2018-2024)
Avg $8,283/year across 7 years
Top 3% in MI for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
163
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$42,464 (73.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,429 (19.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,086 (7.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$17,159
2023
$10,943
2022
$18,736
2021
$1,644
2020
$960
2019
$4,536
2018
$4,001

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
EXACTECH, INC.
$15,559
Pinnacle, Inc
$470
Arthrex, Inc.
$451
Stryker Corporation
$334
Aroa Biosurgery Incorporated
$155
DePuy Synthes Sales Inc.
$80
Shoulder Innovations, Inc.
$70
Linvatec Corporation
$26
Vericel Corporation
$15
Top 3 companies account for 96.0% of 2024 payments
All-time payments by company (2018-2024) ›
EXACTECH, INC.
$42,538
Pinnacle, Inc
$4,634
Stryker Corporation
$2,973
Arthrex, Inc.
$2,891
ENCORE MEDICAL, LP
$2,108
Exactech, Inc.
$1,769
DePuy Synthes Sales Inc.
$185
Smith+Nephew, Inc.
$181
Aroa Biosurgery Incorporated
$172
Catalyst OrthoScience
$129
DJO, LLC
$125
Zimmer Biomet Holdings, Inc.
$94
Shoulder Innovations, Inc.
$70
Linvatec Corporation
$40
Caerus Corp.
$37
Boston Scientific Corporation
$18
Vericel Corporation
$15
Top 3 companies account for 86.5% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACUFEX DIRECTOR · AXSOS · BIOBRACE 23MM · Catalyst Total CSR · Comprehensive Primary Stem · DISTAL EXTREMITIES IMPLANTS TIGHTROPE SYNDESMOSIS · DJO SURGICAL · DJO Surgical AltiVate Anatomic System · DJO Surgical AltiVate Reverse · DJO Surgical Match Point System · EQUINOXE · EVOS · Equinoxe · IM NAILS · InSet System · LIVATEC KNEE PRESERVATION SYSTEM · MACI · MAKO · PICO7 · REUNION · TRAUMA · TRIATHLON · TRIDENT · VA-LCP · WaveWriter Alpha Prime 16
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (73%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for optician in MI.

Looking for an optician specialist in Novi?
Compare opticians in the Novi area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
394
Per 100K population
31.0
County median income
$95,296
Nearest hospital
HURON VALLEY-SINAI HOSPITAL
7.5 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kesto is a clinical cardiology specialist, with above-average Medicare volume (top 18% in MI), with consulting-driven industry engagement in the top 3% of MI peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kesto experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Kesto performed 1,040 steroid injection (triamcinolone) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kesto receive payments from pharmaceutical companies?
Yes. Dr. Kesto received a total of $57,980 from 17 companies across 163 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kesto's costs compare to other opticians in Novi?
Dr. Kesto's average Medicare payment per service is $43. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kesto) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →