Individual provider Active NPI

Kevin Robert Skelsey, M.D.

  • Ophthalmology Physician
  • Lee's Summit, MO
National Provider Identifier
1982696134
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2004035463 Issued in MO
Practice address
1621 NW Blue Pkwy
Lees Summit, MO 64086-5708
Phone
(816) 246-1111
Fax
(816) 246-3931
NPI assigned
Aug 15, 2005
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2004035463 MO Primary

Addresses

Primary practice location

1621 NW Blue Pkwy
Lees Summit, MO 64086-5708

Mailing address

2720 SW Gray LN
Lees Summit, MO 64081-4133
Phone (816) 765-3990

Other identifiers 1

IdentifierTypeStateIssuer
209445600MedicaidMO

Other names 1

  • Dr. Kevin Robert Skelsey Professional name

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
I20050114000677 MO Practitioner - Ophthalmology 5991754061 Reassigns benefits to 1 organization
I20051028001039 KS Practitioner - Ophthalmology 5991754061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Eye Center LLCGroup PAC ID 8921309329, 6 clinicians

Practice addresses (Care Compare)

1621 NW Blue Pkwy
Lees Summit, MO 64086-5708
Phone (816) 246-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
95.69
Improvement activities
40
Cost
79.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0430102KSMDFamily Medicine Physician
2004035463MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Eye Center, LLC Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Cokingtin Eye Center PA Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients
Cokingtin Eye Center PA Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients

Locations

5520 College Blvd
Ste 201
Overland Park, KS 66211
Phone (913) 491-3330

1621 NW Blue Pkwy
Lees Summit, MO 64086
Phone (816) 246-2111

3400 W 10th St
Sedalia, MO 65301
Phone (660) 827-1120

103 Cottonwood St
Warsaw, MO 65355
Phone (660) 428-1146

Interoperability endpoints

  • Direct secure messaging: kevin.skelsey.1@16003.direct.athenahealth.com
  • Direct secure messaging: kskelseymd@summiteyekc.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1982696134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SW GRAY LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814133",
            "telephone_number": "816-765-3990",
            "fax_number": "816-246-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865708",
            "telephone_number": "816-246-1111",
            "fax_number": "816-246-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELSEY",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2004035463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209445600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "SKELSEY",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.