Individual provider Active NPI

Christopher W Peer, MD

  • Orthopaedic Surgery Physician
  • Leawood, KS
National Provider Identifier
1669402137
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-31227 Issued in KS
Practice address
3651 College Blvd Ste 100a
Leawood, KS 66211-1910
Phone
(913) 319-7500
Fax
(913) 319-7691
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0420011001 VT
Orthopaedic Surgery Physician 207X00000X 04-31227 KS Primary

Addresses

Primary practice location

3651 College Blvd Ste 100a
Leawood, KS 66211-1910

Mailing address

3651 College Blvd Ste 100a
Leawood, KS 66211-1910
Phone (913) 319-7500

Other practice location 1

500 Campus Dr
Hancock, MI 49930-1569
Phone (906) 483-1040

Other identifiers 5

IdentifierTypeStateIssuer
00069377OtherVTBLUE SHIELD
1012828MedicaidVT
P00332392OtherVTRAILROAD MEDICARE
390541OtherVTMVP
0572880002OtherVTDME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150812008000 KS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2567465990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Diveley Midwest Orthopaedic Clinic LLCGroup PAC ID 1153225479, 66 clinicians

Practice addresses (Care Compare)

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600

7450 Kessler St
Suite 140
Merriam, KS 66204-2550
Phone (913) 319-7600

Hospital & facility affiliations

  • Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement42
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31227KSMDOrthopaedic Surgery Physician
0420011001VTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Mar 31, 2018 Accepting new patients
Labette County Medical Center Current Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Labette County Medical Center CurrentSince Mar 31, 2018 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
North Country Hospital & Health Center Inc Past Accepting new patients

Locations

3651 College Blvd
Ste 100B
Leawood, KS 66211
Phone (913) 362-0031

3651 College Blvd
Ste 100A
Leawood, KS 66211
Phone (913) 319-7500

3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958

10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600

17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259

201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (913) 319-7600

4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (913) 319-7600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas City Orthopaedic Institute LLCLeawood, KS, CCN 170188 Hospital Limited Partnership Interest (4.35%)
Corporate Officer
Apr 1, 2016
Apr 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1669402137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 100A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7500",
            "fax_number": "913-319-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 100A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7500",
            "fax_number": "913-319-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301569",
            "country_code": "US",
            "telephone_number": "906-483-1040",
            "fax_number": "906-483-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEER",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "0420011001",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-31227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00069377",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012828",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00332392",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "390541",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0572880002",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.