DAVID RYAN FIELEKE (MD) – Dermatology Physician, NPI 1679760417

DAVID RYAN FIELEKE (MD) is a healthcare provider. based in Lees summit, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2011N01449 (MO). The NPI Number for DAVID RYAN FIELEKE (MD) is 1679760417

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DAVID RYAN FIELEKE (MD)
NPI
1679760417
Phone
(573) 356-7265
Address
1728 NE NINE OAKS DR
Enumeration Date
25 September 2007
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8162871528
Graduation Year
2007 (19 years ago)
PAC ID
5294913760
Group Practice PAC ID
3870856669
Professional Enrollment ID
I20110705000186
Address ID
MO640631806LE601XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

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Provider Addresses for DAVID RYAN FIELEKE (MD)

  • 1728, Northeast Nine Oaks Drive, Nine Oaks, Lee's Summit, Jackson County, Missouri, 64086, United States

    LEES SUMMIT, MO 640867814

    Phone: (573) 356-7265

    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 201 Open Payments records for all available years, with a total value of $3,419.

Total Amount is formed as General ($3,419) + Research ($0) + Ownership ($0) = $3,419.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($466).

Total Amount

$3,419

General + Research + Ownership

Payments

201

Total payment records

General Amount

$3,419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2011-07-05

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
I20110705000186IDermatologyMOTBD

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 growths2,663558$0
17000Destruction of precancer skin growth, 1 growth875742$0
99214Established patient office or other outpatient visit, 30-39 minutes686586$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks564439$0
11102Biopsy of related skin growth, first growth522449$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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Provider's Procedures

DAVID RYAN FIELEKE (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips6965
DERMATOLOGYMO17003Destruction of 2-14 skin growths2945554

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: 3870856669View full group profile
NameSpecialtyState
Physician AssistantSC
D E R M A T O L O G YFL
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YKS

Reviews

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Frequently asked questions

Can I cross-check DAVID RYAN FIELEKE (MD) using NPI 1679760417?
NPI 1679760417 belongs to DAVID RYAN FIELEKE (MD); compare other details if you need extra assurance.
Would DAVID RYAN FIELEKE (MD) appear as active to a payer?
You can treat DAVID RYAN FIELEKE (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DAVID RYAN FIELEKE (MD)?
DAVID RYAN FIELEKE (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DAVID RYAN FIELEKE (MD) located near Lees Summit?
DAVID RYAN FIELEKE (MD) currently maps to Lees Summit, Missouri in this extract.
Does DAVID RYAN FIELEKE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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