Individual provider Active NPI

Lucas W Bider, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lees Summit, MO
National Provider Identifier
1972035707
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
2021014902 Issued in MO
Practice address
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone
(816) 246-4302
Fax
(816) 246-9493
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 2021014902 MO Primary

Addresses

Primary practice location

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011

Mailing address

901 E 104TH St # Ms 400S
Kansas City, MO 64131-4517
Phone (816) 502-8752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210712001900 MO Practitioner - Physical Medicine and Rehabilitation 0840568309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockhill Orthopaedic Specialists IncGroup PAC ID 5698935419, 28 clinicians

Practice addresses (Care Compare)

120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
76.72 of 100Reported as group
Quality
51.33
Promoting interoperability
99
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021014902MOMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Orthopaedic Specialists Inc Pain Medicine CurrentSince Aug 16, 2021 Accepting new patients
Rockhill Orthopaedic Specialists Inc Pain Medicine CurrentSince Aug 16, 2021 Accepting new patients
Rockhill Orthopaedic Specialists Inc Past Accepting new patients

Locations

701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

120 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-7202

Interoperability endpoints

  • Direct secure messaging: lbider411310@direct.saint-lukes.org

Organizations & group practices 3

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 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1972035707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST # MS 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8752",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866011",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDER",
        "first_name": "LUCAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MO",
            "license": "2021014902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.