GARY W MCEWEN (M.D.) – Dermatology Physician, NPI 1477554657

GARY W MCEWEN (M.D.) is a healthcare provider. based in Lee's summit, Missouri. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. R9N60 (MO). The NPI Number for GARY W MCEWEN (M.D.) is 1477554657

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
GARY W MCEWEN (M.D.)
NPI
1477554657
Phone
(816) 525-8500
Address
276 NE TUDOR RD
Enumeration Date
10 August 2005
Last Update Date
22 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8165258500
Graduation Year
1989 (37 years ago)
PAC ID
4587678222
Group Practice PAC ID
0446355317
Professional Enrollment ID
I20060201000571
Address ID
MO640865696LE276XXRDXX400
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

337 DERMATOLOGY in MO

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Provider Addresses for GARY W MCEWEN (M.D.)

  • 276, Northeast Tudor Road, AMLI Summit Ridge, Lee's Summit, Jackson County, Missouri, 64086, United States

    LEE'S SUMMIT, MO 640865696

    Phone: (816) 525-8500

    Fax: (816) 525-0185

    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 140 Open Payments records for all available years, with a total value of $3,013.

Total Amount is formed as General ($3,013) + Research ($0) + Ownership ($0) = $3,013.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($530).

Total Amount

$3,013

General + Research + Ownership

Payments

140

Total payment records

General Amount

$3,013

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2006-02-01

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
I20060201000571IDermatologyMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths4,203713$0
99213Established patient office or other outpatient visit, 20-29 minutes1,3351,048$0
17000Destruction of precancer skin growth, 1 growth1,223951$0
17110Destruction of skin growth, 1-14 growths740627$0
99214Established patient office or other outpatient visit, 30-39 minutes457388$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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Provider's Procedures

GARY W MCEWEN (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet6055

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: 0446355317View full group profile
NameSpecialtyState
Physician AssistantNE
Micrographic Dermatologic Surgery (Mds), DermatologyMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify GARY W MCEWEN (M.D.) with an NPI only?
You can start verification with NPI 1477554657 for GARY W MCEWEN (M.D.), then check state licensing separately.
Does CMS list GARY W MCEWEN (M.D.) as active?
Yes — GARY W MCEWEN (M.D.) is active in the NPI listing used on this page.
What healthcare role does GARY W MCEWEN (M.D.) hold?
Scheduling teams often label GARY W MCEWEN (M.D.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is GARY W MCEWEN (M.D.) based?
GARY W MCEWEN (M.D.) is tied to Lee's Summit, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about GARY W MCEWEN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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