Individual provider Active NPI

Scott W Haesemeyer, MD

  • Vascular & Interventional Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1326068149
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
04-29204 Issued in KS
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 335-6671
Fax
(573) 339-0083
NPI assigned
Jul 21, 2006
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C3777 KY
Vascular & Interventional Radiology Physician 2085R0204X 2000152521 MO
Vascular & Interventional Radiology Physician 2085R0204X 04-29204 KS Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 335-6671

Other practice location 1

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, HI, IL, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040603000411 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7618959685 Reassigns benefits to 4 organizations
I20040603000567 KS Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7618959685 Reassigns benefits to 2 organizations
I20201022004009 HI Practitioner - Diagnostic Radiology 7618959685 Reassigns benefits to 1 organization
I20250311003243 IL Practitioner - Diagnostic Radiology 7618959685 Reassigns benefits to 1 organization
I20250318003208 KY Practitioner - Diagnostic Radiology 7618959685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

15239 Dearborn St
Overland Park, KS 66223-3222
Phone (573) 335-6671

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
81.9
Improvement activities
40
Cost
98.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C3777KYMDDiagnostic Radiology Physician
04-29204KSMDVascular & Interventional Radiology Physician
2000152521MOMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Advanced Radiology Consultants of Kansas City, PA Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Mercy Hospital Perry Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
United Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients
St. George Radiology Inc. Diagnostic Radiology PastSince May 1, 2023 Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

70 Doctors Park
Cpe Girardeau, MO 63703

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Organizations & group practices 6

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 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1326068149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671",
            "fax_number": "573-339-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671",
            "fax_number": "573-339-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12300 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "913-317-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAESEMEYER",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "C3777",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2000152521",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": "04-29204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.