Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton Ray Gates, MD

Individual provider Surgery Physician · NPI 1548674989

Clinton Ray Gates, MD is a General Surgery in Independence, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2014, 12 years ago. Practices with Advanced Orthopedics and Sports Medicine, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
12
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19101 E Valley View Pkwy
Independence, MO 64055-6904
Phone: (816) 525-2840
Fax: (816) 525-2841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11340 Nall Ave Ste 200, Overland Park, KS 66211-1234 — (816) 525-2840

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2019014998 (MO)
Surgery Physician Taxonomy 208600000X · Licence 04-42370 (KS)

Record details

NPI number1548674989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2014
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2014 (12 years in practice)
Group practice Advanced Orthopedics And Sports Medicine — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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