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DANE K WICKS MD
NPI 1912989138
Family Medicine in Lees Summit, MO

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
400 SW LONGVIEW BLVD STE 280, LEES SUMMIT, MO 64081(337) 991-9276 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dane K Wicks Md NPPES

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

DANE K WICKS MD (NPI 1912989138) is an individual family medicine provider in Lees Summit, Missouri, licensed in Missouri (R4C66) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1981).

NPPES Registry Identity

NPI1912989138
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANE K WICKSCredential: MD
Location Address400 SW LONGVIEW BLVD STE 280Lees Summit, MO 64081-2157
Mailing Address5750 Johnston St Ste 205Lafayette, LA 70503-5345 · (337) 991-9276
Phone(337) 991-9276
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1981
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1912989138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · R4C66✔ Licensed in NM · 84-288
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 84-288 (NM)
400 SW LONGVIEW BLVD STE 280, Lees Summit, MO 64081
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Other Identifiers 1

Medicaid34025NM

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

Dane K Wicks 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 ID1153393343
PECOS Enrollment IDI20040809000835
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.

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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MS. COURTNEY J JACK APRN-BC
Nurse Practitioner (Family)
400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO 64081
Jackson County (816) 477-7200
DR. CAROLINE LUCILLE MARTIN D.O.
Family Medicine
400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO 64081
Jackson County (816) 477-7200
DANETTE BONECUTTER FNP-C
Nurse Practitioner (Family)
400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO 64081
Jackson County (877) 279-5960
ALLYSON VICTORIA LYNN BRAYMER
Nurse Practitioner
400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO 64081
Jackson County (816) 477-7200

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 Dane Wicks's NPI number?

The NPI number for Dane Wicks is 1912989138. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Dane Wicks located?

Dane Wicks practices at 400 SW Longview Blvd Ste 280, Lees Summit, MO 64081. The listed phone number is (337) 991-9276.

What is Dane Wicks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dane Wicks enrolled in Medicare?

Yes. Dane Wicks 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.

When was this NPI record last updated?

The NPPES record for Dane Wicks was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.