DR. DOUGLAS N TIETJEN MD
NPI 1679522700
Urology in Lees Summit, MO

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
451 NW MURRAY RD, LEES SUMMIT, MO 64081(816) 524-1007(816) 524-1988 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Dr. Douglas N Tietjen Md NPPES

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

DR. DOUGLAS N TIETJEN MD (NPI 1679522700) is an individual urology provider in Lees Summit, Missouri, licensed in Missouri (118291) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Menorah Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1993).

NPPES Registry Identity

NPI1679522700
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DOUGLAS N TIETJENCredential: MD
Location Address451 NW MURRAY RDLees Summit, MO 64081-1425
Mailing Address451 Nw Murray RdLees Summit, MO 64081-1425 · (816) 524-1007 · Fax (816) 524-1988
Fax(816) 524-1988
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1993
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1679522700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in MO · 118291 Licensed in KS · 0428228
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
451 NW MURRAY RD, Lees Summit, MO 64081

Other Identifiers 3

Medicaid205101MO
Other340016722Rr Medicare
Other25977052MO · Bcbs

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 and accepts Medicare assignment

Dr. Douglas N Tietjen 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 ID7113983800
PECOS Enrollment IDI20050714000470, I20120313000600
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 24

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,900 services13 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.
433 services377 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.
402 services329 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
191 services158 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
186 services56 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
183 services128 patients

Hospital Affiliations CMS Care Compare 5

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

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Western Missouri Medical Center

Acute Care Hospitals · Warrensburg, MO
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260097
Location403 Burkarth RoadWarrensburg, MO 64093 · Johnson County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

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 64081 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
$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 4

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims7,350 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers42 claims8,560 services$1.41 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier21 claims6,210 services$6.20 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers13 claims39 services$8.65 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 3

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

Physician Assistant
451 NW MURRAY RD
LEES SUMMIT, MO 64081
Physician Assistant
451 NW MURRAY RD
LEES SUMMIT, MO 64081
Urology
451 NW MURRAY RD
LEES SUMMIT, MO 64081

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 Douglas Tietjen's NPI number?

The NPI number for Douglas Tietjen is 1679522700. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Douglas Tietjen located?

Douglas Tietjen practices at 451 NW Murray Rd, Lees Summit, MO 64081. The listed phone number is (816) 524-1007.

What is Douglas Tietjen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Douglas Tietjen enrolled in Medicare?

Yes. Douglas Tietjen 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.

What insurance does Douglas Tietjen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Douglas Tietjen 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 Douglas Tietjen affiliated with any hospitals?

According to CMS data, Douglas Tietjen is affiliated with Menorah Medical Center, Western Missouri Medical Center, St Lukes Hospital Of Kansas City, Lee's Summit Medical Center and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Tietjen was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.