SUMMIT SKIN AND VEIN CARE
NPI 1902099500
Family Medicine in Lees Summit, MO
About Summit Skin And Vein Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT SKIN AND VEIN CARE (NPI 1902099500) is a healthcare organization registered as a family medicine in Lees Summit, Missouri and active in the NPI registry since August 2007. The organization lists Bruce E Fearon, Owner / President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Skin And Vein Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Summit Skin And Vein Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Lees Summit, MO 64064
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Summit Skin Care Incorporated's NPI number?
The NPI number for Summit Skin Care Incorporated is 1902099500. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is doing business as Summit Skin And Vein Care.
Where is Summit Skin Care Incorporated located?
Summit Skin Care Incorporated is located at 3521 NE Ralph Powell Rd Ste C, Lees Summit, MO 64064. The listed phone number is (816) 554-8346.
What is Summit Skin Care Incorporated's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Summit Skin Care Incorporated enrolled in Medicare?
Yes. Summit Skin Care Incorporated is registered in the Medicare PECOS enrollment system.
When is Summit Skin Care Incorporated's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Summit Skin Care Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Summit Skin Care Incorporated. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Summit Skin Care Incorporated accept?
Health plans from Anthem Blue Cross and Blue Shield list Summit Skin Care Incorporated 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.
When was this NPI record last updated?
The NPPES record for Summit Skin Care Incorporated was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summit Skin And Vein Care · NPI 1902099500
Family Medicine organization in Lees Summit, Missouri. Organization record, active in the CMS NPPES registry since August 27, 2007.
## Identity
- **NPI:** 1902099500 (Entity type: Organization)
- **Enumerated:** August 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Summit Skin Care Incorporated
- **Organization subpart:** No
- **Authorized official:** Bruce Fearon, OWNER / PRESIDENT
## Practice location
- **Address:** 3521 NE RALPH POWELL RD STE C, Lees Summit, MO 64064-2324
- **Phone:** (816) 554-8346 · **Fax:** (816) 554-9470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902099500) · Data from the CMS NPPES public registry.