Summit Skin Care Incorporated
NPI 1902099500 · Family Medicine Physician · Lees Summit, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Summit Skin Care Incorporated is a Family Medicine Physician organization in Lees Summit, MO (NPI 1902099500).
Provider details
- NPI number
- 1902099500
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Fearon, Owner / President(816) 554-7546
- License
- 102868 (MO)
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
18 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
Other names (DBA / former)
- Doing business as
- Summit Skin and Vein Care
- Doing business as
- Summit Skin and Vein Care
Registry dates
- Enumerated
- 2007-08-27
- Last updated
- 2022-09-16
- Certified
- 2022-09-16
Frequently asked questions
- What is Summit Skin Care Incorporated's NPI number?
- Summit Skin Care Incorporated's National Provider Identifier (NPI) is 1902099500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Skin Care Incorporated?
- Summit Skin Care Incorporated is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Summit Skin Care Incorporated located?
- Summit Skin Care Incorporated's practice location on file with NPPES is 3521 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2324.
- What is Summit Skin Care Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Summit Skin Care Incorporated is (816) 554-8346.
- Does Summit Skin Care Incorporated accept Medicare?
- Summit Skin Care Incorporated 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 Summit Skin Care Incorporated?
- The authorized official listed on Summit Skin Care Incorporated's NPPES record is Bruce Fearon, Owner / President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Skin Care Incorporated's NPI active?
- Yes — Summit Skin Care Incorporated's NPI (1902099500) is active in the NPPES registry as of the last update on 2022-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.