Active NPI
Mark A McCune, M.D.
- Dermatology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0419117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100216860A | Medicaid | KS |
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
Enrollment records 1
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
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 100
- Quality
- 88.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0419117 | KS | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Kansas, LLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Overland Park, KS
- NPI 1710444500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.