Individual provider Active NPI

Mark A McCune, M.D.

  • Dermatology Physician
  • Overland Park, KS
National Provider Identifier
1871607267
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0419117 Issued in KS
Practice address
10600 Quivira Rd
Suite 430
Overland Park, KS 66215-2309
Phone
(913) 541-3230
Fax
(913) 541-3244
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0419117 KS Primary
Procedural Dermatology Physician 207NS0135X 0419117 KS

Addresses

Primary practice location

10600 Quivira Rd
Suite 430
Overland Park, KS 66215-2309

Mailing address

3549 W 153Rd Ter
Leawood, KS 66224-9557
Phone (913) 814-0314

Other identifiers 1

IdentifierTypeStateIssuer
100216860AMedicaidKS

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
I20100830001000 KS Practitioner - Dermatology 8628061223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Kansas LLCGroup PAC ID 4082046412, 14 clinicians

Practice addresses (Care Compare)

8505 College Blvd
Overland Park, KS 66210-1836
Phone (913) 541-3230

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
88.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0419117KSMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Kansas, LLC Dermatology CurrentSince Jan 31, 2019 Accepting new patients

Locations

10600 Quivira Rd
Ste 430
Overland Park, KS 66215
Phone (913) 541-3230

8505 College Blvd
Overland Park, KS 66210
Phone (913) 541-3230

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1871607267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 W 153RD TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662249557",
            "telephone_number": "913-814-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA RD",
            "address_2": "SUITE 430",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152309",
            "telephone_number": "913-541-3230",
            "fax_number": "913-541-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "0419117",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KS",
            "license": "0419117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216860A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.