1. Home
  2. Directory
  3. Kansas
  4. Prairie Village
  5. Ophthalmology
  6. NPI Profile

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

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: August 02, 2026.

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

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 Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 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.

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
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

What insurance does Mary Champion accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 10 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 7 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.