Michael D De Priest, MD

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

R5B61 Issued in MO

Practice address

2111 N Woodbine Rd
Saint Joseph, MO 64506-2440

Phone

(816) 364-6446

Fax

(816) 364-5320

NPI assigned

Jun 22, 2005

Reactivated

Mar 29, 2006

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

25.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Plastic Surgery Center of St Joseph, Inc

  • Ambulatory Surgical Clinic/Center
  • Saint Joseph, MO
  • NPI 1508862996
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1639175029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062440",
            "telephone_number": "816-364-6446",
            "fax_number": "816-364-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062440",
            "telephone_number": "816-364-6446",
            "fax_number": "816-364-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PRIEST",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-09-24",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MO",
            "license": "R5B61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201794724",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Anthony Dawson, MD
• James G. Day, D.O.
• Julia Day
• Trina Day, DPT
• David Eduardo Newlan De la Cruz
• Ashley Rose Deacy, DMD
• Deanna Smith, LPC LLC
• Mercer Cadence Deatz
• Brian Michael Debenito, RPH, PHARMD
• Crystal D Deets, PLPC

• Surgery of the Hand (Plastic Surgery) Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.