Individual provider Active NPI

Peter N Scaletty, M.D.

  • Family Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1225327604
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019045773 Issued in MO
Practice address
403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone
(660) 747-2500
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-36438 KS
Family Medicine Physician 207Q00000X 2019045773 MO Primary

Addresses

Primary practice location

403 Burkarth Rd
Warrensburg, MO 64093-3101

Mailing address

9300 Delmar St
Prairie Village, KS 66207-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200204001023 MO Practitioner - Family PracticePractitioner - Emergency Medicine 4183842149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Hospital & facility affiliations

  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Merit-based Incentive Payment System (MIPS)

Final score
87.21 of 100Reported as group
Quality
82.95
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36438KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Apr 1, 2023 Accepting new patients
Western Missouri Medical Center CurrentSince Aug 30, 2023 Accepting new patients

Locations

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1225327604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DELMAR ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALETTY",
        "first_name": "PETER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-36438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019045773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.