MARY T CHAMPION MD
NPI 1760779722
Ophthalmology - Retina Specialist in Prairie Village, KS

Q: What is Mary Champion's NPI number?

The NPI number for Mary Champion is 1760779722. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Mary Champion's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Mary Champion was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

7400 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208(913) 588-6600(913) 588-6655 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Feb 22, 2019 (2 updates tracked since 2019).

On this page

About Mary T Champion Md NPPES

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

MARY T CHAMPION MD (NPI 1760779722) is an individual retina specialist in Prairie Village, Kansas, licensed in Kansas (0439896) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760779722

Entity TypeIndividualFemale

Primary Taxonomy207WX0107X

Provider Legal NameMARY T CHAMPIONCredential: MD

Location Address7400 STATE LINE RD STE 100Prairie Village, KS 66208-3447

Mailing Address7400 State Line Rd Ste 100Prairie Village, KS 66208-3447 · (913) 588-6600 · Fax (913) 588-6655

Phone(913) 588-6600

Fax(913) 588-6655

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2011

Enumeration DateJune 28, 2011

Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1760779722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in KS · 0439896✔ Licensed in AZ · 50228✔ Licensed in MO · 2020013466

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 50228 (AZ), 1 (KS)

7400 STATE LINE RD STE 100, Prairie Village, KS 66208

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13101 Broadway BlvdKansas City, MO 64111-2659 · Phone (816) 302-3700 · Fax (816) 302-9939

Location 21750 E Glendale AvePhoenix, AZ 85020-5505 · Phone (602) 242-4928 ext. 159 · Fax (602) 249-4813

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

Mary T Champion 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 ID9830400878

PECOS Enrollment IDI20170830002639, I20240326002835

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 Reassignments

Medicare enrollment records show Mary Champion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc

4.2 mi

Internal Medicine

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
2,139 clinicians in this Medicare group

NPI 1003858333 (913) 588-2527

The Children's Mercy Hospital

6.4 mi

Pediatrics

2401 GILLHAM RD
Kansas City, MO 64108

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: The Childrens Mercy Hospital
394 clinicians in this Medicare group

NPI 1851437719 (816) 234-3000

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 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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

869 services345 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

459 services117 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

323 services229 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

52 services51 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.

36 services29 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.

35 services35 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 66208 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

91.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

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.

JAMIE WEISER O.D.

Optometrist

7400 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS 66208

Johnson County (913) 588-6600

SARA MAY WALDEN MD

Ophthalmology

7400 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS 66208

Johnson County (913) 588-6660

DR. SARA JOY KRACHMALNICK MD

Ophthalmology (Neuro-ophthalmology)

7400 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS 66208

Johnson County (913) 588-1227

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 Mary Champion's NPI number?

The NPI number for Mary Champion is 1760779722. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Mary Champion located?

Mary Champion practices at 7400 State Line Rd Ste 100, Prairie Village, KS 66208. The listed phone number is (913) 588-6600.

What is Mary Champion's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Mary Champion enrolled in Medicare?

Yes. Mary Champion 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 organizations bill Medicare for Mary Champion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Champion reassigns Medicare benefits to 2 organizations: Kansas University Physicians Inc (Kansas City, KS) and The Children's Mercy Hospital (Kansas City, MO). Each 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 Mary Champion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Champion 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 14 other insurers list Mary Champion 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 Mary Champion affiliated with any hospitals?

According to CMS data, Mary Champion is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Mary Champion was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.