CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
NPI 1114427739
Dermatology - Procedural Dermatology in Lees Summit, MO
About Cornerstone Dermatology & Surgery Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC (NPI 1114427739) is a healthcare organization registered as a procedural dermatology in Lees Summit, Missouri and active in the NPI registry since February 2018. The organization holds a CLIA Certificate of Compliance certificate valid through October 9, 2028, maintains a secondary practice location in Lees Summit, and lists David Fieleke, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cornerstone Dermatology & Surgery Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Cornerstone Dermatology & Surgery Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 26D2147629
Cornerstone Dermatology & Surgery Group, PC · Lees Summit, MOFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cornerstone Dermatology & Surgery Group, PC's NPI number?
The NPI number for Cornerstone Dermatology & Surgery Group, PC is 1114427739. It was assigned to this organization in the NPPES registry on February 20, 2018.
Where is Cornerstone Dermatology & Surgery Group, PC located?
Cornerstone Dermatology & Surgery Group, PC is located at 601 NW Obrien Rd, Lees Summit, MO 64063. The listed phone number is (816) 287-1528.
What is Cornerstone Dermatology & Surgery Group, PC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Cornerstone Dermatology & Surgery Group, PC enrolled in Medicare?
Yes. Cornerstone Dermatology & Surgery Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cornerstone Dermatology & Surgery Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Cornerstone Dermatology & Surgery Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4) and Nurse Practitioner (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cornerstone Dermatology & Surgery Group, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 26D2147629) is associated with this NPI, valid through October 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cornerstone Dermatology & Surgery Group, PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Cornerstone Dermatology & Surgery Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cornerstone Dermatology & Surgery Group, PC was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cornerstone Dermatology & Surgery Group, Pc · NPI 1114427739
Procedural Dermatology organization in Lees Summit, Missouri. Organization record, active in the CMS NPPES registry since February 20, 2018.
## Identity
- **NPI:** 1114427739 (Entity type: Organization)
- **Enumerated:** February 20, 2018
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** David Fieleke, CREDENTIALING MANAGER
## Practice location
- **Address:** 601 NW OBRIEN RD, Lees Summit, MO 64063-1806
- **Phone:** (816) 287-1528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (3); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114427739) · Data from the CMS NPPES public registry.