DR. SUSAN EZELL (DO) – Obstetrics & Gynecology Physician, NPI 1770824732
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
929 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for DR. SUSAN EZELL (DO)
5100 W BROAD ST
COLUMBUS, OH 432281607
Phone: (614) 544-1000
Fax: (614) 544-1751
Type: Mailing
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 640866001
Phone: (816) 282-7809
Fax: (816) 282-7870
Type: Location
5701 W 119th St Ste 225
Overland Park, KS 662093721
Phone: (913) 601-4020
Fax: (913) 601-4022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $411.
Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($83).
Total Amount
$411
General + Research + Ownership
Payments
24
Total payment records
General Amount
$411
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $83 |
| Biogen, Inc. | $68 |
| Hologic Sales and Service, LLC | $42 |
| Pharmacosmos Therapeutics Inc. | $42 |
| ABBVIE INC. | $38 |
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: 2017-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170718001478 | I | Obstetrics/Gynecology | KS | TBD |
| I20170725003568 | I | Obstetrics/Gynecology | MO | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 15 | 15 | $0 |
Insurance plans in this area (ZIP 43228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
Reviews
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