Individual provider Active NPI

Spencer L Eagan, MD

  • Plastic Surgery Physician
  • Overland Park, KS
National Provider Identifier
1881785772
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0435520 Issued in KS
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

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881785772MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
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, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20120622000170 MO Practitioner - Plastic and Reconstructive Surgery 2860657970 Reassigns benefits to 1 organization
I20120627000628 KS Practitioner - Plastic and Reconstructive Surgery 2860657970 Reassigns benefits to 1 organization

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
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

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 Hospital, Leawood, KS, CCN 170194
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy25
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0435520KSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Plastic Surgery CurrentSince Jan 1, 2021 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

  • Direct secure messaging: seagan5170@direct.saint-lukes.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.