DR. MARC KENNETH TAORMINA MD
NPI 1992788038
Internal Medicine - Gastroenterology in Lees Summit, MO

Q: What is Marc Taormina's NPI number?

The NPI number for Marc Taormina is 1992788038. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Marc Taormina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Marc Taormina was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 22, 2005PECOS EnrolledAccepts Medicare Assignment

83.96/100

CMS Quality Rating

3601 NE RALPH POWELL RD, LEES SUMMIT, MO 64064(816) 251-1200(816) 251-1280 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Marc Kenneth Taormina Md NPPES

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

DR. MARC KENNETH TAORMINA MD (NPI 1992788038) is an individual gastroenterology provider in Lees Summit, Missouri, licensed in Missouri (R8667) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1976).

NPPES Registry Identity

NPI1992788038

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MARC KENNETH TAORMINACredential: MD

Location Address3601 NE RALPH POWELL RDLees Summit, MO 64064-2357

Mailing Address3601 Ne Ralph Powell RdLees Summit, MO 64064-2357 · (816) 251-1200 · Fax (816) 251-1280

Phone(816) 251-1200

Fax(816) 251-1280

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1976

Enumeration DateNovember 22, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1992788038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · R8667

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3601 NE RALPH POWELL RD, Lees Summit, MO 64064

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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, UnitedHealthcare.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

Dr. Marc Kenneth Taormina 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 ID3476467572

PECOS Enrollment IDI20111123000671

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 Marc Taormina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Gi Health LLC

Same address

Gastroenterology

3601 NE RALPH POWELL RD
Lees Summit, MO 64064

Reassigned Medicare billing, Missouri enrollment
3 clinicians in this Medicare group

NPI 1497265078 (816) 207-2000

Harrison County Community Hospital District

77 mi

Family Medicine

110 CENTRAL AVE
Pattonsburg, MO 64670

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1528062569 (Missouri)
35 clinicians in this Medicare group

NPI 1285427104 (660) 425-3154

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 18

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.

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

2,740 services11 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,022 services495 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

445 services249 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

197 services195 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

193 services167 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

154 services154 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

128 services27 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

105 services103 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

102 services101 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.

70 services59 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

55 services11 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

48 services48 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

44 services43 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

35 services34 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

31 services31 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260095

Location19600 East 39th StreetIndependence, MO 64057 · Jackson 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

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

Harrison County Community Hospital

Critical Access Hospitals · Bethany, MO

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261312

Location2600 Miller StreetBethany, MO 64424 · Harrison County

Emergency services

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO

OwnershipGovernment - Local

CMS Certification Number261324

Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64064 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

$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.

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.

83.96/100

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

Scored as part of a group practice

Quality

93.35

Improvement Activities

Cost

55.41

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

1 supplier45 claims125 services$10.27 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

1 supplier51 claims287 services$280.40 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier51 claims287 services$8.05 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier51 claims287 services$25.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

KATHLEEN ERIN PINON RN

Registered Nurse (Gastroenterology)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 251-1200

IN MOTION PHYSICAL THERAPY AND SPORTS REHABILITATION

Specialist

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 524-1225

MIDWEST GASTROENTEROLOGY PARTNERS PC

Internal Medicine (Gastroenterology)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 251-1200

DR. RUSSELL WADE MCCULLOUGH DO

Internal Medicine (Gastroenterology)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 251-1200

MS. EMILEE MARIE HOOVER FNP-C

Nurse Practitioner (Family)

3601 NE RALPH POWELL RD, STE A
LEE'S SUMMIT, MO 64064

Jackson County (816) 836-2200

STEPHANIE R JUSTIN CNP

Nurse Practitioner (Family)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 207-2000

MIDWEST GI HEALTH LLC

Internal Medicine (Gastroenterology)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 207-2000

MIDWEST DIGESTIVE HEALTH CENTER LLC

Clinic/Center (Ambulatory Surgical)

3601 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 525-4440

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 Marc Taormina's NPI number?

The NPI number for Marc Taormina is 1992788038. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Marc Taormina located?

Marc Taormina practices at 3601 NE Ralph Powell Rd, Lees Summit, MO 64064. The listed phone number is (816) 251-1200.

What is Marc Taormina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marc Taormina enrolled in Medicare?

Yes. Marc Taormina 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 Marc Taormina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Taormina reassigns Medicare benefits to 2 organizations: Midwest Gi Health LLC (Lees Summit, MO) and Harrison County Community Hospital District (Pattonsburg, 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 Marc Taormina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Taormina accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Marc Taormina 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 Marc Taormina affiliated with any hospitals?

According to CMS data, Marc Taormina is affiliated with Centerpoint Medical Center, St Lukes Hospital Of Kansas City, Lee's Summit Medical Center, Harrison County Community Hospital and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Taormina was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.