NPIMap

Individual provider Active NPI

Mark Stephen Walton, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Overland Park, KS
National Provider Identifier
1073667275
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
04-24974 Issued in KS
Practice address
5370 College Blvd
Suite 100
Overland Park, KS 66211-1891
Phone
(913) 599-4800
Fax
(913) 599-2992
NPI assigned
Jan 23, 2007
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD105370 MO
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 04-24974 KS Primary

Addresses

Primary practice location

5370 College Blvd
Suite 100
Overland Park, KS 66211-1891

Mailing address

5370 College Blvd
Suite 100
Overland Park, KS 66211-1935
Phone (913) 599-4800

Other identifiers 4

IdentifierTypeStateIssuer
1008080OtherUNITEDHEALTH CARE
101450OtherKSBCBS OF KANSAS
21144013OtherMOBCBS OF KANSAS CITY
100161420AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101118000071 MO Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9638113822 Reassigns benefits to 1 organization
I20101118000105 KS Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9638113822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Creighton University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Surgery of Kansas City P aGroup PAC ID 7911032131, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (913) 599-4800

5370 College Blvd
Suite 100
Overland Park, KS 66211-1891
Phone (913) 599-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.87 of 100Reported as group
Quality
59.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-24974KSMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician
MD105370MOMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Surgery of Kansas City P a Plastic Surgery Within the Head & Neck Current Accepting new patients
Head & Neck Surgery of Kansas City P a Plastic Surgery Within the Head & Neck CurrentSince Sep 1, 1994 Accepting new patients
Head & Neck Surgery of Kansas City P a Plastic Surgery Within the Head & Neck CurrentSince Sep 1, 1994 Accepting new patients

Locations

5370 College Blvd
Ste 100
Overland Park, KS 66211
Phone (913) 933-0939

17053 S US Highway 71
Ste 206
Belton, MO 64012
Phone (816) 363-1900

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

7201 E 147th St
Ste 120
Grandview, MO 64030
Phone (816) 425-3580

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1073667275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 COLLEGE BLVD",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111935",
            "telephone_number": "913-599-4800",
            "fax_number": "913-599-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 COLLEGE BLVD",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111891",
            "telephone_number": "913-599-4800",
            "fax_number": "913-599-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MO",
            "license": "MD105370",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "KS",
            "license": "04-24974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "1008080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "101450",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "21144013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161420A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.