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DR. ERICH J LINGENFELTER M.D.
NPI 1619068509
Orthopaedic Surgery in North Kansas City, MO

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR, STE 600, NORTH KANSAS CITY, MO 64116(816) 561-3003(816) 889-1584 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Erich J Lingenfelter M.d. NPPES

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

DR. ERICH J LINGENFELTER M.D. (NPI 1619068509) is an individual orthopaedic surgery provider in North Kansas City, Missouri, licensed in Missouri (113159) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with North Kansas City Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1997).

NPPES Registry Identity

NPI1619068509
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ERICH J LINGENFELTERCredential: M.D.
Location Address2790 CLAY EDWARDS DR, STE 600North Kansas City, MO 64116-3276
Mailing Address2790 Clay Edwards Dr, Ste 600North Kansas City, MO 64116-3276 · (816) 561-3003 · Fax (816) 889-1584
Phone(816) 561-3003
Fax(816) 889-1584
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1997
Enumeration DateSeptember 27, 2006
Last NPPES UpdateApril 4, 2018
✔ NPI 1619068509 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 · 113159
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.
2790 CLAY EDWARDS DR, North Kansas City, MO 64116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Erich J Lingenfelter M.d. 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 ID1153319686
PECOS Enrollment IDI20040504000643, I20250721001156
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 Reassignment

Medicare enrollment records show Erich Lingenfelter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Health Of Kansas City P.C.
Orthopaedic Surgery
1950 DIAMOND PARKWAY SUITE #100
North Kansas City, MO 64116
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Orthopedic Health Of Kansas City PC
  • 32 clinicians in this Medicare group
NPI 1336188242 (816) 561-3003

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

Areas of Expertise CMS Part B claims 9

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
269 services206 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.
158 services136 patients
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.
99 services90 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
72 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
45 services41 patients

Hospital Affiliations CMS Care Compare 3

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

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

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers34 claims34 services$115.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

APRIL D PATTEN ANP
Registered Nurse (Critical Care Medicine)
2790 CLAY EDWARDS DR, SUITE 510
N KANSAS CITY, MO 64116
Clay County (816) 842-3353
MERITAS HEALTH CORPORATION
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Clay County (816) 472-5157
DR. MICHAEL NEIL FINE DPM
Podiatrist
2790 CLAY EDWARDS DR, SUITE 570
N KANSAS CITY, MO 64116
Clay County (816) 455-8900
DR. RAJYA L MALAY MD
Internal Medicine (Cardiovascular Disease)
2790 CLAY EDWARDS DR, SUITE 520
NORTH KANSAS CITY, MO 64116
Clay County (816) 221-6750
DR. GREGORY L. BARNHILL D.O.
Orthopaedic Surgery
2790 CLAY EDWARDS DR, SUITE #650
NORTH KANSAS CITY, MO 64116
Clay County (816) 559-6500
JANESE B SURBER APRN
Nurse Practitioner
2790 CLAY EDWARDS DR, STE 1230
NORTH KANSAS CITY, MO 64116
Clay County (816) 214-9300
TESSA WEIGEL
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR, SUITE 410
NORTH KANSAS CITY, MO 64116
Clay County (816) 474-9353
JAY GORDON ROBINSON MD
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Clay County (816) 472-5157

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 Erich Lingenfelter's NPI number?

The NPI number for Erich Lingenfelter is 1619068509. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Erich Lingenfelter located?

Erich Lingenfelter practices at 2790 Clay Edwards Dr Ste 600, North Kansas City, MO 64116. The listed phone number is (816) 561-3003.

What is Erich Lingenfelter's specialty?

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

Is Erich Lingenfelter enrolled in Medicare?

Yes. Erich Lingenfelter 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 organization bills Medicare for Erich Lingenfelter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erich Lingenfelter reassigns Medicare benefits to Orthopedic Health Of Kansas City P.C. (North Kansas City, MO). The 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 Erich Lingenfelter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erich Lingenfelter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Erich Lingenfelter 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 Erich Lingenfelter affiliated with any hospitals?

According to CMS data, Erich Lingenfelter is affiliated with North Kansas City Hospital, New Liberty Hospital District and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Erich Lingenfelter was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.