Matthew C. Daggett, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2010017408 Issued in MO

Practice address

2000 SE Blue Pkwy
Suite # 230
Lees Summit, MO 64063-1041

Phone

(816) 525-2840

Fax

(816) 525-2841

NPI assigned

Jun 23, 2010

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics and Sports MedicineGroup PAC ID 8820370422, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Orthopedics and Sports Medicine

  dba Sano Orthopedics

  • Orthopaedic Surgery Physician
  • Lee's Summit, MO
  • NPI 1003268087

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Orthopedics and Sports Medicine

  dba Sano Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
  • NPI 1598226383
  Authorized official Same address or phone
• Lee Summit ASC KC LLC

  dba Beacon Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lee's Summit, MO
  • NPI 1255991238
  NPD
• Advanced Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Paola, KS
  • NPI 1750152070
  NPD
• Beacon West Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1598530578
  NPD
• Stemulis Orthobiologics LLC

  • Sports Medicine (Family Medicine) Physician
  • Overland Park, KS
  • NPI 1720814692
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Kansas City Orthopaedic Institute LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1457364408
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1023329216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PKWY",
            "address_2": "SUITE # 230",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631041",
            "telephone_number": "816-525-2840",
            "fax_number": "816-525-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PKWY",
            "address_2": "SUITE # 230",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631041",
            "telephone_number": "816-525-2840",
            "fax_number": "816-525-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2010017408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Vision, Inc. (Custom Eyes)
• Kristin D'Augustine, COTA/L
• Sidraa Dad, LSCSW
• Daggett & Kramer,DO,LLC
• Christopher Michael Daggett, D.O.
• Nichole Dahmer
• Brenae Daines, R.N.
• Kelvin Dam, RD
• Quyen Dam, M.D.
• Jennifer Dampf

• Orthopaedic Surgery Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.