Stephanie Michele Peters, MD, MS

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

04-46869 Issued in KS

Practice address

4370 W 109TH St Ste 350
Overland Park, KS 66211-1370

Phone

(846) 941-0800

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

General Surgery

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Menorah Medical Group LLCGroup PAC ID 1355535162, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Merit-based Incentive Payment System (MIPS)

Final score

82.28 of 100Reported as group

Quality

78.53

Promoting interoperability

99

Improvement activities

40

Cost

63.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.peters@hca2.eclinicaldirectplus.com
• Direct secure messaging: speters597638@direct.franciscanalliance.org

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.

• Menorah Medical Group, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1386957223

  MO

  Medicare reassignment Care Compare group NPD
• Colorectal Surgery Associates PC

  • Colon & Rectal Surgery Physician
  • Overland Park, KS
  • NPI 1730183120
  NPD
• Menorah Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1922358902
  NPD (past)
• Centerpoint Womens Services LLC

  • Maternal & Fetal Medicine Physician
  • Independence, MO
  • NPI 1386935237
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Midwest Division-Oprmc LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1871989103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST STE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111370",
            "telephone_number": "317-834-9618",
            "fax_number": "846-941-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST STE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111370",
            "telephone_number": "846-941-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Barnhill Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025112",
            "country_code": "US",
            "telephone_number": "317-274-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Hadley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461582907",
            "country_code": "US",
            "telephone_number": "317-834-9618",
            "fax_number": "317-831-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61057094",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01085973A",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2022041373",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "04-46869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda D Peterman, LCMFT
• Anna C Peters
• Kasey Peters
• Mary E Peters, PT, MPH, CEA
• Stephanie Lynne Peters, APRN
• Christon Alexis Petersen, LPC
• Corrin Petersen, LMFT
• Hilary A Petersen, MD
• Shane Petersen
• Teresa Petersen, PT, MS, PCS

• Colon & Rectal Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Colon & Rectal Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.

Verify at the official NPI Registry.