Individual provider Active NPI

Mack Weston Savage, M.D.

  • Ophthalmology Physician
  • Sedalia, MO
National Provider Identifier
1396159208
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-42791 Issued in KS
Practice address
515 S Kentucky Ave Ste D
Sedalia, MO 65301-4224
Phone
(816) 266-4213
Fax
(816) 559-8992
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301114302 MI
Ophthalmology Physician 207W00000X 2015021642 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301114302 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 04-42791 KS
Retina Specialist (Ophthalmology) Physician 207WX0107X 2015021642 MO
Ophthalmology Physician 207W00000X 04-42791 KS Primary

Addresses

Primary practice location

515 S Kentucky Ave Ste D
Sedalia, MO 65301-4224

Mailing address

515 S Kentucky Ave Ste D
Sedalia, MO 65301-4224
Phone (816) 266-4213

Other identifiers 1

IdentifierTypeStateIssuer
200029772MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msavage@savageretina.intellechartdirect.net Direct Savage Retina LLC

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
I20200902003409 MO Practitioner - Ophthalmology 5294952149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 S Kentucky Ave
Sedalia, MO 65301-4224
Phone (866) 266-4213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015021642MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cokingtin Eye Center PA Ophthalmology Current Accepting new patients
Cokingtin Eye Center PA Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Savage Retina LLC Retina Specialist CurrentSince May 17, 2025 Accepting new patients

Locations

5520 College Blvd
Ste 201
Overland Park, KS 66211
Phone (913) 491-3330

9301 W 74th St
Ste 210
Shawnee Mission, KS 66204
Phone (913) 601-3589

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

515 S Kentucky Ave
Sedalia, MO 65301
Phone (573) 746-1506

515 S Kentucky Ave
Ste D
Sedalia, MO 65301
Phone (816) 266-4213

506 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 747-2202

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-cec

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 5

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1396159208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S KENTUCKY AVE STE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014224",
            "telephone_number": "816-266-4213",
            "fax_number": "816-559-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KENTUCKY AVE STE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014224",
            "telephone_number": "816-266-4213",
            "fax_number": "816-559-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "MACK",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301114302",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2015021642",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301114302",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-42791",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2015021642",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-42791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200029772",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msavage@savageretina.intellechartdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Savage Retina LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "515 S Kentucky Ave Ste D",
            "city": "Sedalia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653014224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.