ROBERT E. DATTILIO DO
NPI 1174559942
Family Medicine in Gladstone, MO

Q: What is Robert Dattilio's NPI number?

The NPI number for Robert Dattilio is 1174559942. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Robert Dattilio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Dattilio was last updated on June 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

6420 N PROSPECT AVE, GLADSTONE, MO 64119(913) 945-9700(913) 945-9707 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Robert E. Dattilio Do NPPES

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

ROBERT E. DATTILIO DO (NPI 1174559942) is an individual family medicine provider in Gladstone, Missouri, licensed in Missouri (107975) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1986).

NPPES Registry Identity

NPI1174559942

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT E. DATTILIOCredential: DO

Location Address6420 N PROSPECT AVEGladstone, MO 64119

Mailing Address2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312Westwood, KS 66205-2005 · (913) 588-9000 · Fax (913) 588-9822

Phone(913) 945-9700

Fax(913) 945-9707

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1986

Enumeration DateJune 24, 2006

Last NPPES UpdateJune 13, 2018

✔ NPI 1174559942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 107975

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6420 N PROSPECT AVE, Gladstone, MO 64119

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Other Identifiers 9

Other10001644900Chp Creekwood

Other2057249Aetna

Other18960020Cfu Bcbs

Other21968021Bcbs Picture Hills

Other22039026Bcbs Picture Hills Uc

Other481159444Jayhawk Tax Id

Other080158296Rr Medicare

Other157695XXPreferred Care Of Ny

Other21968011Bcbs Creekwood

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert E. Dattilio Do 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 ID1254475858

PECOS Enrollment IDI20100220000141

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services91 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services79 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

70 services70 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

32 services32 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64119 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 12

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

JUSTIN SCOTT LAWING DO

Family Medicine