Active NPI
Scott W Haesemeyer, MD
- Vascular & Interventional Radiology Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 04-29204
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic 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
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
- Saint Francis Medical Center
- Poplar Bluff Regional Medical Center
- Herrin Hospital
- Mercy Health - Lourdes Hospital
- Memorial Hospital of Carbondale
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.62 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C3777 | KY | MD | Diagnostic Radiology Physician |
| 04-29204 | KS | MD | Vascular & Interventional Radiology Physician |
| 2000152521 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Family Medicine | Current | Accepting new patients |
| Advanced Radiology Consultants of Kansas City, PA | Diagnostic Radiology | Current | Accepting new patients |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Hospital Perry | Diagnostic Radiology | Current | Accepting new patients |
| United Imaging Consultants, LLC | Diagnostic Radiology | Past | Accepting new patients |
| St. George Radiology Inc. | Diagnostic Radiology | Past | 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.
-
- Diagnostic Radiology Physician
- Cape Girardeau, MO
- NPI 1477506392
IL, KS, KY
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1447800131
HI, MO
-
dba Mercy Hospital Perry - RHC I
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
Family Medicine
-
- Diagnostic Radiology Physician
- St George, UT
- NPI 1790736130
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Poplar Bluff Regional Medical Center
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.