Individual provider Active NPI

Matthew Thomas Cullen, D.O.

  • Orthopaedic Surgery Physician
  • Blue Springs, MO
National Provider Identifier
1992105670
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2014019000 Issued in MO
Practice address
201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone
(816) 655-5426
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2014019000 MO Primary

Addresses

Primary practice location

201 NW R D Mize Rd
Blue Springs, MO 64014-2513

Mailing address

2705 S Milton Dr
Independence, MO 64055-2024
Phone (816) 830-3084

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
I20200707002816 MO Practitioner - Orthopedic Surgery 7618390865 Reassigns benefits to 1 organization
I20210719002421 KS Practitioner - Orthopedic Surgery 7618390865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics and Sports MedicineGroup PAC ID 8820370422, 45 clinicians

Practice addresses (Care Compare)

2861 NE Independence Ave
Suite 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840

505 S Hospital Dr
Paola, KS 66071-1850
Phone (816) 525-2840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014019000MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine Orthopaedic Surgery CurrentSince May 1, 2021 Accepting new patients
Advanced Orthopedics and Sports Medicine Orthopaedic Surgery CurrentSince May 1, 2021 Accepting new patients
Beacon West Surgery Center LLC PastSince Jul 1, 2024 Accepting new patients

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

11340 Nall Ave
Ste 200A
Overland Park, KS 66211
Phone (816) 994-9300

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

7201 E 147th St
Ste 120
Grandview, MO 64030
Phone (816) 425-3580

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

121 N Dean Ave
Ste 101
Raymore, MO 64083

Interoperability endpoints

  • Direct secure messaging: matthew.cullen@cassregional.direct-ci.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 4

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1992105670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S MILTON DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640552024",
            "telephone_number": "816-830-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW R D MIZE RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142513",
            "telephone_number": "816-655-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2014019000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.