DR. GERALD FRANCIS DUGAN M.D.
NPI 1366403917
Orthopaedic Surgery in Lees Summit, MO

Active since March 31, 2006PECOS Enrolled
77.36/100
CMS Quality Rating
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086(816) 246-4302(816) 246-8910 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2019, Sep 21, 2018, Jun 5, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Gerald Francis Dugan M.d. NPPES

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

DR. GERALD FRANCIS DUGAN M.D. (NPI 1366403917) is an individual orthopaedic surgery provider in Lees Summit, Missouri, licensed in Missouri (R7G06) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's East Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1982).

NPPES Registry Identity

NPI1366403917
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GERALD FRANCIS DUGANCredential: M.D.
Location Address120 NE SAINT LUKES BLVD STE 200Lees Summit, MO 64086-6011
Mailing Address901 E 104th StKansas City, MO 64131-4517 · (816) 502-8752
Fax(816) 246-8910
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1982
Enumeration DateMarch 31, 2006
Last NPPES UpdateApril 9, 20195 updates tracked since enumeration
NPI 1366403917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · R7G06
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
120 NE SAINT LUKES BLVD STE 200, Lees Summit, MO 64086

Accepted 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)

Dr. Gerald Francis Dugan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496777419
PECOS Enrollment IDI20100512000132
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
3,238 services220 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
2,544 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
441 services241 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.
305 services220 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
187 services180 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
80 services74 patients

Hospital Affiliations CMS Care Compare

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

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.5
Promoting Interoperability100
Improvement Activities40
Cost51.03

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%108 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%127 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
77%511 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Physician Assistant
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Nurse Practitioner
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Physical Medicine & Rehabilitation
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Orthopaedic Surgery
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Nurse Practitioner (Family)
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Orthopaedic Surgery
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086
Orthopaedic Surgery
120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086

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 Gerald Dugan's NPI number?

The NPI number for Gerald Dugan is 1366403917. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Gerald Dugan located?

Gerald Dugan practices at 120 NE Saint Lukes Blvd Ste 200, Lees Summit, MO 64086. The listed phone number is (816) 246-4302.

What is Gerald Dugan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gerald Dugan enrolled in Medicare?

Yes. Gerald Dugan is registered in the Medicare PECOS enrollment system.

What insurance does Gerald Dugan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Medica list Gerald Dugan 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 Gerald Dugan affiliated with any hospitals?

According to CMS data, Gerald Dugan is affiliated with Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Dugan was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.