MATTHEW WAYNE MCEWEN (MD) – Dermatology Physician, NPI 1730686643

MATTHEW WAYNE MCEWEN (MD) is a healthcare provider. based in Lees summit, Missouri. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2024001826 (MO). The NPI Number for MATTHEW WAYNE MCEWEN (MD) is 1730686643

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WAYNE MCEWEN (MD)
NPI
1730686643
Phone
(816) 525-8500
Address
276 NE TUDOR RD
Enumeration Date
7 April 2018
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8165258500
Graduation Year
2018 (8 years ago)
PAC ID
3779832399
Group Practice PAC ID
0446355317
Professional Enrollment ID
I20240520003379
Address ID
MO640865696LE276XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

42 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MO

Provider Addresses for MATTHEW WAYNE MCEWEN (MD)

  • 276 NE TUDOR RD

    LEES SUMMIT, MO 640865696

    Phone: (816) 525-8500

    Type: Mailing

  • Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States

    MEMPHIS, TN 38163

    Phone: (901) 448-5814

    Type: Mailing

  • 2221 GARRETT RD

    DREXEL HILL, PA 190261101

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $3,335.

Total Amount is formed as General ($3,335) + Research ($0) + Ownership ($0) = $3,335.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,010).

Total Amount

$3,335

General + Research + Ownership

Payments

142

Total payment records

General Amount

$3,335

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: 2024-05-20

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
I20240520003379IDermatologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes151118$0
11102Biopsy of related skin growth, first growth148138$0
17003Destruction of precancer skin growth, 2-14 growths13479$0
99213Established patient office or other outpatient visit, 20-29 minutes127113$0
11103Biopsy of related skin growth, each additional growth12362$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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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: 0446355317View full group profile
NameSpecialtyState
D E R M A T O L O G YMO
Physician AssistantNE
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up MATTHEW WAYNE MCEWEN (MD) by NPI?
Use NPI 1730686643 when you need to reference MATTHEW WAYNE MCEWEN (MD) in forms, claims, or directories.
Is MATTHEW WAYNE MCEWEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MATTHEW WAYNE MCEWEN (MD) work in?
You can think of MATTHEW WAYNE MCEWEN (MD) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is MATTHEW WAYNE MCEWEN (MD)'s primary listing?
We display Lees Summit, Missouri because that is what the record indicates for MATTHEW WAYNE MCEWEN (MD).
Is MATTHEW WAYNE MCEWEN (MD) a real provider?
This page reflects official NPPES data for NPI 1730686643. Always confirm identity and privileges with the practice and licensing boards.

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