Active NPI
Spencer L Eagan, MD
- Plastic Surgery Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0435520
- Practice address
- 14340 Metcalf Ave
Overland Park, KS 66223-2987 - Phone
- (913) 914-5975
- Fax
- (816) 875-2598
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2012005895 | MO | |
| Plastic Surgery Physician | 208200000X | 0435520 | KS | Primary |
Addresses
Primary practice location
14340 Metcalf Ave
Overland Park, KS 66223-2987
Mailing address
5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387
Other practice location 1
4801 College Blvd Fl 2
Leawood, KS 66211-1628
Phone (913) 721-3387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881785772 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spencer.eagan.1@12752.direct.athenahealth.com | Direct | |
| CONNECT URL | spencer.eagan.1@12752.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-4200
6815 Frontage Rd
Suite a
Overland Park, KS 66204-1555
Phone (913) 721-3387
Hospital & facility affiliations
- Ascentist Hospital LLC
- Menorah Medical Center
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 72.61
- Promoting interoperability
- 100
- Improvement activities
- 30
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 25 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0435520 | KS | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascentist Physicians Group, LLC | Plastic Surgery | Current | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
2300 Hutton Rd
Ste 106107
Kansas City, KS 66109
2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386
4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200
4801 College Blvd
Fl 2
Leawood, KS 66211
14340 Metcalf Ave
Overland Park, KS 66223
Phone (913) 341-2188
6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725
4820 College Blvd
Ste A
Overland Park, KS 66211
5101 College Blvd
Overland Park, KS 66211
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456
2000 SE Blue Pkwy
Ste 110
Lees Summit, MO 64063
Interoperability endpoints
- seagan5170@direct.saint-lukes.org
- spencer.eagan.1@12752.direct.athenahealth.com
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.
-
- Otolaryngology Physician
- Lees Summit, MO
- NPI 1649206319
KS, Plastic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leawood, KS
- NPI 1871698472
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1881785772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111614",
"telephone_number": "913-721-3387",
"fax_number": "816-875-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14340 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232987",
"telephone_number": "913-914-5975",
"fax_number": "816-875-2598"
}
],
"practiceLocations": [
{
"address_1": "4801 College Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111628",
"country_code": "US",
"telephone_number": "913-721-3387",
"fax_number": "816-875-2597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAGAN",
"first_name": "SPENCER",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MO",
"license": "2012005895",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KS",
"license": "0435520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881785772",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spencer.eagan.1@12752.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "EHR Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4801 College Blvd Fl 2",
"city": "Leawood",
"state": "KS",
"country_code": "US",
"postal_code": "662111628",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "spencer.eagan.1@12752.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14340 Metcalf Ave",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662232987",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 7, 2025; 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.