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GEOFF PETERSON
NPI 1285076364
Dentist in Lees Summit, MO

Active since July 18, 2013PECOS Enrolled
3751 SW HOLLYWOOD DR, LEES SUMMIT, MO 64082(816) 623-3563 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Geoff Peterson NPPES

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

GEOFF PETERSON (NPI 1285076364) is an individual dentist in Lees Summit, Missouri, licensed in Missouri (2013025331) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285076364
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGEOFF PETERSON
Location Address3751 SW HOLLYWOOD DRLees Summit, MO 64082-7830
Mailing Address3751 Sw Hollywood DrLees Summit, MO 64082-7830
Phone(816) 623-3563
Sole ProprietorNo
Enumeration DateJuly 18, 2013
✔ NPI 1285076364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2013025331
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3751 SW HOLLYWOOD DR, Lees Summit, MO 64082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Geoff Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64082 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
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
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 2

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

DR. YASMIN HUSSEIN DDS
Dentist (General Practice)
3751 SW HOLLYWOOD DR
LEES SUMMIT, MO 64082
Jackson County (816) 944-1698
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Dentist (General Practice)
3751 SW HOLLYWOOD DR
LEES SUMMIT, MO 64082
Jackson County (816) 944-1698

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 Geoff Peterson's NPI number?

The NPI number for Geoff Peterson is 1285076364. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Geoff Peterson located?

Geoff Peterson practices at 3751 SW Hollywood Dr, Lees Summit, MO 64082. The listed phone number is (816) 623-3563.

What is Geoff Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Geoff Peterson enrolled in Medicare?

Yes. Geoff Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Geoff Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers list Geoff Peterson 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 Geoff Peterson was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.