Cornerstone Dermatology & Surgery Group, PC
NPI 1114427739 · Procedural Dermatology Physician · Lees Summit, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cornerstone Dermatology & Surgery Group, PC is a Procedural Dermatology Physician organization in Lees Summit, MO (NPI 1114427739).
Provider details
- NPI number
- 1114427739
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Fieleke, Credentialing Manager(816) 287-1528
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 255 Nw Blue Pkwy Ste 202Lees Summit, MO 64063-1972Phone: (816) 287-1528Fax: (343) 503-0640
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Cornerstone Dermatology & Surgery Group, PC's NPI number?
- Cornerstone Dermatology & Surgery Group, PC's National Provider Identifier (NPI) is 1114427739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cornerstone Dermatology & Surgery Group, PC?
- Cornerstone Dermatology & Surgery Group, PC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Cornerstone Dermatology & Surgery Group, PC located?
- Cornerstone Dermatology & Surgery Group, PC's practice location on file with NPPES is 601 Nw Obrien Rd, Lees Summit, MO 64063-1806.
- What is Cornerstone Dermatology & Surgery Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Cornerstone Dermatology & Surgery Group, PC is (816) 287-1528.
- Does Cornerstone Dermatology & Surgery Group, PC accept Medicare?
- Cornerstone Dermatology & Surgery Group, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cornerstone Dermatology & Surgery Group, PC?
- The authorized official listed on Cornerstone Dermatology & Surgery Group, PC's NPPES record is David Fieleke, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cornerstone Dermatology & Surgery Group, PC's NPI active?
- Yes — Cornerstone Dermatology & Surgery Group, PC's NPI (1114427739) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.