Individual provider Active NPI

Paul Owen Gorby, DPM

  • Podiatrist
  • Liberty, MO
National Provider Identifier
1629078407
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
009612 Issued in MO
Practice address
550 Rush Creek Pkwy
Suite a
Liberty, MO 64068-9608
Phone
(816) 455-1155
Fax
(816) 455-1161
NPI assigned
Jul 22, 2005
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 009612 MO Primary
Podiatrist 213E00000X 12-00343 KS

Addresses

Primary practice location

550 Rush Creek Pkwy
Suite a
Liberty, MO 64068-9608

Mailing address

550 Rush Creek Pkwy
Suite a
Liberty, MO 64068-9608
Phone (816) 455-1155

Other identifiers 1

IdentifierTypeStateIssuer
309126407MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070904000677 KS Practitioner - Podiatry 1456326081 Reassigns benefits to 2 organizations
I20111208000481 MO Practitioner - Podiatry 1456326081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Specialists of Kansas City PAGroup PAC ID 5496762411, shared by 12 NPIs, 18 clinicians
Comprehensive Foot Centers, P.a.Group PAC ID 4082661954, 6 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Suite G
Lansing, KS 66043-1610
Phone (816) 455-1155

11413 Ash St
Leawood, KS 66211-1837
Phone (816) 455-1155

550 Rush Creek Pkwy
Suite a
Liberty, MO 64068-9603
Phone (816) 455-1155

9411 N Oak Trfy
Suite 230
Kansas City, MO 64155-2235
Phone (816) 455-1155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.86 of 100Reported as group
Quality
29.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions13
Removal of nail tissue1488
Removal or shaving of skin growth699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12-00343KSMDPodiatrist
009612MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Kansas City, PA Podiatrist CurrentSince Aug 1, 2025 Accepting new patients
Foot Specialists of Kansas City, PA Podiatrist CurrentSince Aug 1, 2025 Accepting new patients
Foot Specialists of Kansas City, P.a. Podiatrist CurrentSince Aug 1, 2025 Accepting new patients
Foot Specialists of Kansas City, PA Podiatrist Past Accepting new patients
Mid America Foot and Ankle Specialist, PC Past Accepting new patients

Locations

100 E Kansas St
Ste G
Lansing, KS 66043

11413 Ash St
Overland Park, KS 66211
Phone (913) 661-9977

8550 Marshall Dr
Ste 120
Overland Park, KS 66214
Phone (913) 492-3277

1956 NW Copper Oaks Cir
Blue Springs, MO 64015
Phone (816) 228-6995

9411 N Oak Trfy
Ste 230
Kansas City, MO 64155
Phone (816) 214-9300

550 Rush Creek Pkwy
Ste A
Liberty, MO 64068
Phone (816) 452-4893

Interoperability endpoints

  • Direct secure messaging: pgorby@usfas.emadirect.md

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 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1629078407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RUSH CREEK PKWY",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689608",
            "telephone_number": "816-455-1155",
            "fax_number": "816-455-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RUSH CREEK PKWY",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689608",
            "telephone_number": "816-455-1155",
            "fax_number": "816-455-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBY",
        "first_name": "PAUL",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "009612",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309126407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.