NPIMap

Individual provider Active NPI

Wesley Frevert, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lee's Summit, MO
National Provider Identifier
1972822617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2014020134 Issued in MO
Practice address
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone
(816) 246-4302
NPI assigned
May 20, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2014020134 MO Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

600 NE Adams Dairy Pkwy Ste 160
Blue Springs, MO 64014-5496
Phone (816) 246-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001711 MO Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7810130564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Missouri, Columbia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 NE Saint Lukes Blvd
Saint Luke's Surgicenter
Lees Summit, MO 64086-6000
Phone (816) 246-4302

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement52
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014020134MOMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Orthopaedic Specialists Inc Sports Medicine Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

600 NE Adams Dairy Pkwy
Ste 160
Blue Springs, MO 64014

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

120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972822617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE Adams Dairy Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640145496",
            "country_code": "US",
            "telephone_number": "816-246-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREVERT",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2014020134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.