Active NPI
Kevin Robert Skelsey, M.D.
- Ophthalmology Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2004035463
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209445600 | Medicaid | MO |
Other names 1
- Dr. Kevin Robert Skelsey
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
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 95.69
- Improvement activities
- 40
- Cost
- 79.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430102 | KS | MD | Family Medicine Physician |
| 2004035463 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Eye Center, LLC | Ophthalmology | Current | Accepting new patients |
| Cokingtin Eye Center PA | Ophthalmology | Current | Accepting new patients |
| Cokingtin Eye Center PA | Ophthalmology | Current | 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
- kevin.skelsey.1@16003.direct.athenahealth.com
- 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.
-
- Ophthalmology Physician
- Lee's Summit, MO
- NPI 1255716221
-
- Ophthalmology Physician
- Lawrence, KS
- NPI 1548228406
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1497751648
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.