MARK MCCLUNG (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1750380267

Plastic and Reconstructive Surgery Physician

MARK MCCLUNG (M.D.) is a healthcare provider. based in Leawood, Kansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 04-22048 (KS). The NPI Number for MARK MCCLUNG (M.D.) is 1750380267

Main info

Male

40 Years Of Experience

Accepts Medicare Assignment

Name

MARK MCCLUNG (M.D.)

NPI

1750380267

Phone

(913) 451-3722

Address

11501 GRANADA LN

Enumeration Date

18 July 2005

Last Update Date

11 July 2024

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS

Secondary Phone

9134513722118

Graduation Year

1986 (40 years ago)

PAC ID

6507854122

Group Practice PAC ID

4486642006

Professional Enrollment ID

I20100917000042

Address ID

KS662111454LE11501STXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS

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Provider Addresses for MARK MCCLUNG (M.D.)

11501, Granada Lane, Leawood, Johnson County, Kansas, 66211, United States
LEAWOOD, KS 662111454
Phone: (913) 451-3722
Fax: (913) 451-5000
Type: Mailing
11501 GRANADA ST
LEAWOOD, KS 662111454
Phone: (913) 451-3722
Fax: (913) 451-5000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($311).

Total Amount

$1,062

General + Research + Ownership

Payments

Total payment records

General Amount

$1,062

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$311
Mentor Worldwide LLC	$160
Galderma Laboratories, L.P.	$86
Integra LifeSciences Corporation	$69
Kowa Pharmaceuticals America, Inc.	$66

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: 2010-09-17

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

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
I20100917000042	I	Plastic And Reconstructive Surgery	KS	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.

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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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: 4486642006View full group profile

Name	Specialty	State
DR. ELIZABETH ANNE KILLION (M.D.)	Plastic And Reconstructive Surgery	TX
DR. JOSEPH V. JR. CANNOVA (M.D.)	Plastic And Reconstructive Surgery	KS
JACOB DANIEL SMITH (MD)	Plastic And Reconstructive Surgery	NY
NAHID SHAHROOZ (MD)	D E R M A T O L O G Y	KS
JON RAST (M.D.)	Plastic And Reconstructive Surgery	KS
SHERYL L YOUNG (M.D.)	Plastic And Reconstructive Surgery	KS

Reviews

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Frequently asked questions

How do payers reference MARK MCCLUNG (M.D.)?

For MARK MCCLUNG (M.D.), use NPI 1750380267 as the unique 10-digit identifier.

Would MARK MCCLUNG (M.D.) appear as active to a payer?

You can treat MARK MCCLUNG (M.D.) as active for directory purposes; confirm clinical privileges separately.

What kind of doctor is MARK MCCLUNG (M.D.)?

MARK MCCLUNG (M.D.) is associated with Plastic and Reconstructive Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.

Where in Kansas is MARK MCCLUNG (M.D.) registered?

Use Leawood, Kansas as the headline location for MARK MCCLUNG (M.D.) here.

When was this NPI issued?

Enumeration for MARK MCCLUNG (M.D.) is noted as July 18, 2005 where the registry provides it.