Providers

FREDERICK SCOTT DATTEL, M.D.

NPI 1912008525, individual, Kansas City, MO, Pediatrics, Adolescent Medicine

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since November 10, 2022.
  • Medicaid still paid claims in 2 later months, $10,580 in total.
score 94 of 100, rank 282, $11K at stake

Public list actions

Medicare revocation effective November 10, 2022, barred from re-enrolling until November 10, 2032
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Practitioner - Pediatric Medicine, DC
OIG exclusion August 20, 2024 under section 1128a1
Physician (MD, DO), General Practice, Leawood, KS

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 10, 2022Nov 10, 20322Dec 2022Jan 2023$11K$202K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameFREDERICK SCOTT DATTEL, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedSeptember 26, 2006, last updated July 8, 2007
Practice location1004 CARONDELET DR, SUITE 330, Kansas City, MO 64114-4802, 816-941-6400
Specialties
Pediatrics, Adolescent Medicine (2080A0000X, primary, license 100376 MO)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$325K24%$45$44 (top 5% from $110)52nd percentile
99393Medicaid service code$159K12%$66$78 (top 5% from $121)36th percentile
99392Medicaid service code$143K10%$64$78 (top 5% from $124)34th percentile
92587Placement of ear probe for computerized measurement of sound with interpretation and report$109K8%$34$20 (top 5% from $101)75th percentile
99391Medicaid service code$102K7%$65$76 (top 5% from $126)33rd percentile
99394Medicaid service code$92K7%$66$83 (top 5% from $128)35th percentile
90460Administration of first vaccine or toxoid component with counseling (18 years or younger)$71K5%$39$26 (top 5% from $54)75th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$69K5%$61$60 (top 5% from $133)50th percentile

In this area

26 providers in Jackson County, MO carry an indicator in the public record, with $4.2M at stake between them. The most common is part of a provider network, on 18 of them, followed by more hours than a day holds on 5. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1BRIDGEWAY CLINICS LLC
Independence, MO, ranked 36
$159K
  • Listed on the MO Medicaid exclusion list since August 25, 2023.
  • Medicaid still paid claims in 15 later months, $158,557 in total.
  • and 1 more
1LAURICE TAYLOR
Lees Summit, MO, ranked 341
$3K
  • Listed on the MO Medicaid exclusion list since February 1, 2019.
  • Medicaid still paid claims in 1 later month, $3,362 in total.
3AFFINITY CARE OF MISSOURI LLC
Independence, MO, ranked 1020
$1.3M
  • Part of provider network D1-00113, ranked 113 nationally.
3HOSPICE PARTNERS OF KANSAS LLC
Independence, MO, ranked 1335
$124K
  • Part of provider network D1-00137, ranked 137 nationally.
3JOHN KNOX VILLAGE
Lees Summit, MO, ranked 1429
$47K
  • Part of provider network D1-00106, ranked 106 nationally.
3TRUMAN MEDICAL CENTER, INCORPORATED
Kansas City, MO, ranked 1620
$3K
  • Part of provider network D1-00134, ranked 134 nationally.
3RESIDENTIAL HOSPICE OF MISSOURI, LLC
Kansas City, MO, ranked 2029
$0
  • Part of provider network D1-00105, ranked 105 nationally.
3JOHN KNOX VILLAGE
Lees Summit, MO, ranked 2610
$0
  • Part of provider network D1-00106, ranked 106 nationally.
All 26 in MO

Recent enforcement in MO

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026
Kansas Chiropractor Pleads Guilty to Health Care Fraud
Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.
DOJIndictedJul 30, 2026
Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud
King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.
DOJSentencedJul 21, 2026
Home Health Care Operator Sentenced for Defrauding Missouri Medicaid
Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.
DOJComplaint filedJun 23, 2026
Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims
Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.
DOJIndictedJun 3, 2026
U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor
A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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