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DR. ETHAN ANDREW HACKER MD
NPI 1124557301
Internal Medicine - Clinical Cardiac Electrophysiology in North Kansas City, MO

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR STE 520570, NORTH KANSAS CITY, MO 64116(816) 221-6750(816) 221-7280 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2020, Oct 15, 2019, Jun 9, 2017 (3 updates tracked since 2017).

About Dr. Ethan Andrew Hacker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN ANDREW HACKER MD (NPI 1124557301) is an individual clinical cardiac electrophysiology provider in North Kansas City, Missouri, licensed in Missouri (2025032202) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Lukes North Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124557301
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. ETHAN ANDREW HACKERCredential: MD
Location Address2790 CLAY EDWARDS DR STE 520570North Kansas City, MO 64116-3276
Mailing Address2800 Clay Edwards Drive, Medical Staff ServicesNorth Kansas City, MO 64116 · (816) 691-1655
Phone(816) 221-6750
Fax(816) 221-7280
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 9, 2017
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1124557301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in MO · 2025032202
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 94-09160 (KS)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35503 (OK)
2790 CLAY EDWARDS DR STE 520570, North Kansas City, MO 64116
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 Rainbow Blvd # MS 2027Kansas City, KS 66160-8500 · Phone (913) 588-3974 · Fax (913) 588-6055
Location 2800 Stanton L Young BlvdOklahoma City, OK 73104-5018 · Phone (405) 271-4742

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Andrew Hacker Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729350376
PECOS Enrollment IDI20250826001765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ethan Hacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meritas Health Corporation
Same address
Otolaryngology
2790 CLAY EDWARDS DR, SUITE 500
North Kansas City, MO 64116
  • Reassigned Medicare billing, Missouri enrollment
  • 702 clinicians in this Medicare group
NPI 1336444918 (816) 994-0040
Ray County Memorial Hospital
33 mi
Critical Access
904 WOLLARD BLVD
Richmond, MO 64085
  • Reassigned Medicare billing, Missouri enrollment
  • 81 clinicians in this Medicare group
NPI 1245220052 (816) 470-5432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261332
Location1502 North JeffersonCarrollton, MO 64633 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED MICHAEL ROBL MD
Internal Medicine (Interventional Cardiology)
2790 CLAY EDWARDS DR STE 520570
NORTH KANSAS CITY, MO 64116
Clay County (816) 221-6750

Frequently 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 Ethan Hacker's NPI number?

The NPI number for Ethan Hacker is 1124557301. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Ethan Hacker located?

Ethan Hacker practices at 2790 Clay Edwards Dr Ste 520570, North Kansas City, MO 64116. The listed phone number is (816) 221-6750.

What is Ethan Hacker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Ethan Hacker enrolled in Medicare?

Yes. Ethan Hacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Hacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Hacker reassigns Medicare benefits to 2 organizations: Meritas Health Corporation (North Kansas City, MO) and Ray County Memorial Hospital (Richmond, MO). Each 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 Ethan Hacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Hacker accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Ethan Hacker 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.

Is Ethan Hacker affiliated with any hospitals?

According to CMS data, Ethan Hacker is affiliated with Saint Lukes North Hospital, North Kansas City Hospital and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Hacker was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.