ADAM SKINNER (D.O.) – Emergency Medicine Physician, NPI 1053310896
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 EMERGENCY MEDICINE in KS
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Provider Addresses for ADAM SKINNER (D.O.)
12 CORPORATE WOODS SUITE 250
10975 BENSON DRIVE
OVERLAND PARK, KS 66210
Phone: (913) 469-1488
Fax: (913) 469-1441
Type: Mailing
Providence Medical Center, 8929, Parallel Parkway, Kansas City, Wyandotte County, Kansas, 66112, United States
KANSAS CITY, KS 66112
Phone: (913) 596-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040731000135 | I | Emergency Medicine | NC | TBD |
| I20070105000109 | I | Emergency Medicine | KS | TBD |
| I20140319000646 | I | Emergency Medicine | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 66210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| General Surgery | IL | |
| Nurse Practitioner | MS | |
| - | MO | |
| Emergency Medicine, General Practice | MO | |
| Internal Medicine, Family Practice | MO | |
| P O D I A T R Y | MO | |
| General Surgery | KS | |
| - | MO | |
| Nurse Practitioner | MO |
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