Caleb Pace, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Nevada, MO
NPI 1124548086 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1124548086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 2020011189 (MO)
- Practice address
- 800 S Ash St
Nevada, MO 64772-3224 - Phone
- (417) 667-2121
- NPI assigned
- Jun 22, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Memorial Hospital District
Nevada City Hospital
Practice addresses (Care Compare)
408 E 7TH St
Appleton City, MO 64724-1617
Phone (660) 476-2121
800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355
800 S Ash St
Nevada, MO 64772-3224
Hospital & facility affiliations
- Nevada Regional Medical Center
- Anderson County Hospital
- Harrison County Community Hospital
- Allen County Regional Hospital
- Ellett Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.28 of 100
- Quality
- 38.51
- Improvement activities
- 40
- Cost
- 70.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.42 of 100
- Quality
- 73.87
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.94 of 100
- Quality
- 91.35
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.89 of 100
- Quality
- 50.25
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 81.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 29 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 466 |
| Removal or shaving of skin growth | 149 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200821000767 | MO | Practitioner - Podiatry | 6305262205 | Reassigns benefits to 4 organizations |
| I20200828001213 | KS | Practitioner - Podiatry | 6305262205 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-00465 | KS | MD | Foot & Ankle Surgery Podiatrist |
| 2020011189 | MO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group of Kansas LLC | Current |
Accepting new patients | |
| Nevada City Hospital | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Shoal Creek Foot and Ankle Center LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Nevada City Hospital | Current |
Accepting new patients | |
| Shoal Creek Foot and Ankle Center LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients | |
| Shoal Creek Foot and Ankle Center LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Nevada City Hospital | Past | Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients |
Locations
101 Lee Ave
Columbus, KS 66725
Phone (620) 429-2134
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000
2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
1801 W 32nd St
Bldg C
Joplin, MO 64804
Phone (417) 622-0648
800 S Ash St
Ste 220
Nevada, MO 64772
Phone (417) 448-2121
800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355
900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355
800 S Ash St
Ste 210
Nevada, MO 64772
Phone (417) 448-3603
Interoperability endpoints
- cpace623879@direct.saint-lukes.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 12-00465 | KS | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2020011189 | MO | Yes |
Addresses
Primary practice location
800 S Ash St
Nevada, MO 64772-3224
Mailing address
208 N Bonda Way
Nixa, MO 65714-7940
Phone (816) 898-9908
Other practice location 1
1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511
Other practice location 2
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 785000141 | Other | MO | MEDICARE |
| 000014962 | Other | MO | MEDICARE |
| 830087368 | Medicaid | MO |
Other providers in Nevada, MO
- NRMC Wound Clinic
- Lara Beth Offenburger
- On My Own, Inc.
- On My Own, Inc.
- On My Own, Inc.
- Pageminder, Inc.
- Inn T Park
- Julie Ann Parker
- Kaylee Dawn Peery
- Byron Leonard Perkinson
All providers in Nevada, MO · Foot & Ankle Surgery Podiatrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.