KEVIN J MCDANIEL (MD) – Emergency Medicine Physician, NPI 1063866283

KEVIN J MCDANIEL (MD) is a healthcare provider. based in Shawnee, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 04-42163 (KS). The NPI Number for KEVIN J MCDANIEL (MD) is 1063866283

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J MCDANIEL (MD)
NPI
1063866283
Phone
(217) 919-7090
Address
5734 ALDEN CT
Enumeration Date
14 April 2016
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9135881227
Graduation Year
2016 (10 years ago)
PAC ID
3577858406
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20190809000070
Address ID
KS660615350OL20333STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

453 EMERGENCY MEDICINE in KS

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Provider Addresses for KEVIN J MCDANIEL (MD)

  • 5734, Alden Court, Shawnee, Johnson County, Kansas, 66216, United States

    SHAWNEE, KS 662164914

    Phone: (217) 919-7090

    Type: Mailing

  • Olathe Medical Center, 20333, West 151st Street, Olathe, Johnson County, Kansas, 66061, United States

    OLATHE, KS 660617211

    Phone: (913) 791-4200

    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: 2019-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190809000070IEmergency MedicineKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making257250$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only185179$0
99284Emergency department visit with moderate level of medical decision making7474$0
99291Critical care, first 30-74 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 66216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921911587View full group profile

Reviews

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Frequently asked questions

How do payers reference KEVIN J MCDANIEL (MD)?
For KEVIN J MCDANIEL (MD), use NPI 1063866283 as the unique 10-digit identifier.
Would KEVIN J MCDANIEL (MD) appear as active to a payer?
You can treat KEVIN J MCDANIEL (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KEVIN J MCDANIEL (MD)?
At a glance, KEVIN J MCDANIEL (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN J MCDANIEL (MD)?
Travel planning: use Shawnee, Kansas as the reference point for KEVIN J MCDANIEL (MD), then confirm.
Can I trust this NPI listing for KEVIN J MCDANIEL (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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