Active NPI
Garry Michael Martin II, M.D.
- Plastic Surgery Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- UNKNOWN
- Practice address
- 4320 Wornall Rd
Ste 530
Kansas City, MO 64111-5941 - Phone
- (913) 932-0288
- Fax
- (816) 932-9868
- NPI assigned
- Jun 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | UNKNOWN | KS | Primary |
Addresses
Primary practice location
4320 Wornall Rd
Ste 530
Kansas City, MO 64111-5941
Mailing address
901 E 104TH St
Mailstop 400N
Kansas City, MO 64131-4517
Phone (816) 502-8756
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of South Carolina School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080
4400 Broadway Blvd
Kansas City, MO 64111-3342
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Luke'S East Hospital
- Saint Lukes North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 14 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UNKNOWN | KS | MD | Plastic Surgery Physician |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1669678595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-502-8756",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD",
"address_2": "STE 530",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115941",
"telephone_number": "913-932-0288",
"fax_number": "816-932-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GARRY",
"middle_name": "MICHAEL",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KS",
"license": "UNKNOWN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.