Lee'S Summit Dermatology Associates I, PC
NPI 1205972270 · Specialist · Lee'S Summit, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lee'S Summit Dermatology Associates I, PC is a Specialist organization in Lee'S Summit, MO (NPI 1205972270).
Provider details
- NPI number
- 1205972270
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gary Mcewen, Owner(816) 525-8500
- License
- R9N60 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2008-08-22
Frequently asked questions
- What is Lee'S Summit Dermatology Associates I, PC's NPI number?
- Lee'S Summit Dermatology Associates I, PC's National Provider Identifier (NPI) is 1205972270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lee'S Summit Dermatology Associates I, PC?
- Lee'S Summit Dermatology Associates I, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lee'S Summit Dermatology Associates I, PC located?
- Lee'S Summit Dermatology Associates I, PC's practice location on file with NPPES is 276 Ne Tudor Rd, Lee'S Summit, MO 64086-5696.
- What is Lee'S Summit Dermatology Associates I, PC's phone number?
- The practice phone number listed in the NPPES registry for Lee'S Summit Dermatology Associates I, PC is (816) 525-8500.
- Does Lee'S Summit Dermatology Associates I, PC accept Medicare?
- Lee'S Summit Dermatology Associates I, 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 Lee'S Summit Dermatology Associates I, PC?
- The authorized official listed on Lee'S Summit Dermatology Associates I, PC's NPPES record is Gary Mcewen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lee'S Summit Dermatology Associates I, PC's NPI active?
- Yes — Lee'S Summit Dermatology Associates I, PC's NPI (1205972270) is active in the NPPES registry as of the last update on 2008-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.