SCOTT R LUALLIN (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1114919982

SCOTT R LUALLIN (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 04-23383 (KS). The NPI Number for SCOTT R LUALLIN (MD) is 1114919982

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT R LUALLIN (MD)
NPI
1114919982
Phone
(816) 218-2500
Address
2310 HOLMES ST STE 800
Enumeration Date
18 August 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8164047000
Graduation Year
1988 (38 years ago)
PAC ID
4082618699
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20100901000551
Address ID
MO641391236KA7900XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

144 SPORTS MEDICINE in MO

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Provider Addresses for SCOTT R LUALLIN (MD)

  • 800, Holmes Street, Central Business District KC, Downtown Kansas City, Jackson County, Missouri, 64106, United States

    KANSAS CITY, MO 641082602

    Phone: (816) 218-2500

    Type: Mailing

  • Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States

    KANSAS CITY, MO 641391236

    Phone: (816) 404-7650

    Fax: (816) 404-7612

    Type: Location

  • 10777 Nall Ave

    Suite 300

    Overland Park, KS 662111231

    Phone: (913) 642-0200

    Fax: (913) 563-6699

    Type: Location

  • 7900 Lees Summit Rd

    Kansas City, MO 641391236

    Phone: (816) 404-7650

    Fax: (816) 404-7612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,255.

Total Amount is formed as General ($2,255) + Research ($0) + Ownership ($0) = $2,255.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Vericel Corporation ($1,557).

Total Amount

$2,255

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

4

Ownership records

Last Payment Date

2024-12-16

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: 2010-09-01

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
I20100901000551IOrthopedic 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint20088$0
99213Established patient office or other outpatient visit, 20-29 minutes14996$0
99214Established patient office or other outpatient visit, 30-39 minutes7363$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
27447Replacement of knee joint, both sides of knee2220$0
View full utilization report →

Insurance plans in this area (ZIP 64108)

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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: 1153235825View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
D E R M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Internal MedicineMO
-MO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Orthopedic SurgeryMO
Orthopedic SurgeryPA
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

Does SCOTT R LUALLIN (MD) have a public NPI I can cite?
Public records show SCOTT R LUALLIN (MD) under NPI 1114919982.
Does the public listing show SCOTT R LUALLIN (MD) as active?
SCOTT R LUALLIN (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret SCOTT R LUALLIN (MD)'s specialty?
The extract shows Sports Medicine (Orthopaedic Surgery) Physician for SCOTT R LUALLIN (MD). Clinical services aligned with this taxonomy classification.
Is SCOTT R LUALLIN (MD) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, SCOTT R LUALLIN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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