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MICHAEL L MAIN MD
NPI 1851340095
Internal Medicine - Cardiovascular Disease in Kansas City, MO

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111(816) 931-1883(816) 756-3645 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2020, Nov 10, 2017 (2 updates tracked since 2017).

About Michael L Main Md NPPES

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

MICHAEL L MAIN MD (NPI 1851340095) is an individual cardiovascular disease provider in Kansas City, Missouri, licensed in Missouri (116372) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1991).

NPPES Registry Identity

NPI1851340095
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL L MAINCredential: MD
Location Address4330 WORNALL RD, SUITE 2000Kansas City, MO 64111-5939
Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (816) 502-7117 · Fax (816) 932-9670
Phone(816) 931-1883
Fax(816) 756-3645
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1991
Enumeration DateMay 6, 2006
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1851340095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 116372
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4330 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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

Michael L Main 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 ID446293906
PECOS Enrollment IDI20050606000664, I20051220000743
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 8

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
289 services287 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
76 services75 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
68 services67 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
31 services31 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
31 services31 patients
Ultrasound of heart with probe in esophagus, with report 93312
This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte 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

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

Wright Memorial Hospital

Critical Access Hospitals · Trenton, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261309
Location191 Iowa BoulevardTrenton, MO 64683 · Grundy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

KRISTINA M CALKINS RN, BC, ANP
Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
TIMOTHY M BATEMAN MD
Nuclear Medicine (Nuclear Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
DR. ANNA GRODZINSKY M.D.
Internal Medicine (Cardiovascular Disease)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
DANIEL A STEINHAUS M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
4330 WORNALL RD, STE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
JASON B LINDSEY MD
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
LAUREN RASMUSSEN
Nurse Practitioner
4330 WORNALL RD, MEDICAL PLAZA III SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
KELSEY MEGARIS DNP, CCRN, NP-C
Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883
JAMES A GRANTHAM MD
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Jackson County (816) 931-1883

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 Michael Main's NPI number?

The NPI number for Michael Main is 1851340095. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Michael Main located?

Michael Main practices at 4330 Wornall Rd Suite 2000, Kansas City, MO 64111. The listed phone number is (816) 931-1883.

What is Michael Main's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Main enrolled in Medicare?

Yes. Michael Main 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 Michael Main accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Michael Main 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 Michael Main affiliated with any hospitals?

According to CMS data, Michael Main is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City, Saint Luke's East Hospital and Wright Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Main was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.