DANIEL P BORTNICK (MD) – Plastic Surgery Physician, NPI 1326090259

DANIEL P BORTNICK (MD) is a healthcare provider. based in Leawood, Kansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 105608 (MO). The NPI Number for DANIEL P BORTNICK (MD) is 1326090259

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL P BORTNICK (MD)
NPI
1326090259
Phone
(913) 754-4939
Address
11550 GRANADA ST
Enumeration Date
17 May 2006
Last Update Date
4 August 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9134517546
Graduation Year
1987 (39 years ago)
PAC ID
6608880919
Group Practice PAC ID
5294721486
Professional Enrollment ID
I20100830000155
Address ID
KS662111453LE11550STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS

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Provider Addresses for DANIEL P BORTNICK (MD)

  • Dermatology and Skin Care Centers, 11550, Granada Street, Leawood, Johnson County, Kansas, 66211, United States

    LEAWOOD, KS 662111453

    Phone: (913) 754-4939

    Fax: (913) 663-2411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,830.

Total Amount is formed as General ($1,830) + Research ($0) + Ownership ($0) = $1,830.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($899).

Total Amount

$1,830

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,830

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100830000155IPlastic And Reconstructive SurgeryKSTBD
I20101111000736IPlastic And Reconstructive SurgeryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66211)

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Provider's Procedures

DANIEL P BORTNICK (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYKS14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2319

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: 5294721486View full group profile
NameSpecialtyState
Nurse PractitionerMO
Dermatology, Micrographic Dermatologic Surgery (Mds)MO
D E R M A T O L O G YMO
Plastic And Reconstructive SurgeryKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
Physician AssistantKS
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL P BORTNICK (MD)?
DANIEL P BORTNICK (MD) — NPI 1326090259 — is the standard way to identify this listing.
Can I rely on DANIEL P BORTNICK (MD) being an active provider?
As of the registry snapshot, DANIEL P BORTNICK (MD) is marked active.
What is DANIEL P BORTNICK (MD)'s specialty?
The listing groups DANIEL P BORTNICK (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DANIEL P BORTNICK (MD) list a practice location?
Patients near Leawood, Kansas may find DANIEL P BORTNICK (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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