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Deactivated NPI 1417909672 Deactivated / Inactive NPI Male Practitioner

Dr. Norman Mutchnick , MD

Specialist • Lees Summit, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Norman Mutchnick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date April 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Norman Mutchnick, MD was a registered Specialist practicing in Lees Summit, MO. Throughout an active medical career spanning 18 years, Dr. Mutchnick provided care at the practice location at 1741 NE DOUGLAS ST until profile deactivation on 2024-04-10.

Historical Medicare Part B clinical services included new patient outpatient office visit, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1741 Ne Douglas St
Suite102

Lees Summit, MO 640864703

Telephone 8165549955
Fax 8165546451
Associated Practice Facility / Clinic
🏢 Surgical Services, P.a. Facility NPI 1184762270

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Lees Summit, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
28 28 $150.00 $105.94
99221 Initial hospital inpatient care per day, typically 30 minutes
16 16 $150.00 $100.65
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $100.00 $73.12

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO R8174

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Vanessa Beachner , DPT

Physical Therapist

NPI 1366849002

Doctor of Physical Therapy

Dr. Jeremy Skeens , DPT

Physical Therapist

NPI 1568712651

Doctor of Physical Therapy

Dr. Randy Tarvin , MD

Family Medicine

NPI 1952396905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1741 NE DOUGLAS ST, SUITE102, LEES SUMMIT, MO 640864703 (Tel: 8165549955)

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Updated Business Mailing Address July 08, 2007

Registered at 1741 NE DOUGLAS ST, SUITE 102, LEES SUMMIT, MO 640864703 (Tel: 8165549955)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NORMAN MUTCHNICK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #R8174 in MO)

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Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417909672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: July 08, 2007
Deactivation Date: April 10, 2024

Mailing Address

1741 Ne Douglas St, Suite 102

Lees Summit, MO 640864703

Phone: 8165549955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.