Individual provider Active NPI

Perry Kent Geistler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1053429779
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000612 Issued in MO
Practice address
12152 Tesson Ferry Rd
Saint Louis, MO 63128-1779
Phone
(314) 849-7600
Fax
(314) 842-0106
NPI assigned
Aug 25, 2006
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000612 MO Primary

Addresses

Primary practice location

12152 Tesson Ferry Rd
Saint Louis, MO 63128-1779

Mailing address

12152 Tesson Ferry Rd
Saint Louis, MO 63128-1779
Phone (314) 849-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000607 MO Practitioner - Podiatry 7416981048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12152 Tesson Ferry Rd
Saint Louis, MO 63128-1779
Phone (314) 849-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue182
Removal of skin lesions1-10
Removal of nail tissue483
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
612MOMDProfessional Counselor
000612MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot & Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Next Step Foot and Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Geistler Family Footcare, Inc. Foot & Ankle Surgery CurrentSince Apr 1, 2003 Accepting new patients
Center for Advanced Foot & Ankle Surgery Inc Foot & Ankle Surgery Past Accepting new patients

Locations

500 W Pine St
Farmington, MO 63640
Phone (573) 701-9249

12152 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 849-5414

12152 Tesson Ferry Rd
Ste 260
Saint Louis, MO 63128

12700 Southfork Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-8850

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

Networks

  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1053429779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281779",
            "telephone_number": "314-849-7600",
            "fax_number": "314-842-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281779",
            "telephone_number": "314-849-7600",
            "fax_number": "314-842-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISTLER",
        "first_name": "PERRY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.