SAINT LUKE'S SURGICENTER - LEE'S SUMMIT – Ambulatory Surgical Clinic/Center, NPI 1164486809
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SAINT LUKE'S SURGICENTER - LEE'S SUMMIT
PO BOX 7010
OVERLAND PARK, KS 662070010
Phone: (913) 647-6475
Type: Mailing
Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States
LEES SUMMIT, MO 640866000
Phone: (816) 347-5800
Fax: (816) 347-5899
Type: Location
Roe Avenue, Leawood, Johnson County, Kansas, 66211, United States
LEAWOOD, KS 662111941
Phone: (913) 387-0510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (893 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20050613000353 | O | Ambulatory Surgical Center | MO | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,700 | 36 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 441 | 441 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 340 | 336 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 322 | 185 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 318 | 318 | $0 |
Insurance plans in this area (ZIP 66207)
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