NPIMap

Individual provider Active NPI

Caleb Pace, DPM

  • Foot & Ankle Surgery Podiatrist
  • Nevada, MO
National Provider Identifier
1124548086
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2020011189 Issued in MO
Practice address
800 S Ash St
Nevada, MO 64772-3224
Phone
(417) 667-2121
NPI assigned
Jun 22, 2017
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 12-00465 KS
Foot & Ankle Surgery Podiatrist 213ES0103X 2020011189 MO Primary

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

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Other practice location 2

1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821000767 MO Practitioner - Podiatry 6305262205 Reassigns benefits to 4 organizations
I20200828001213 KS Practitioner - Podiatry 6305262205 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital DistrictGroup PAC ID 0345153680, shared by 4 NPIs, 20 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
50.25
Promoting interoperability
90
Improvement activities
40
Cost
81.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue466
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020011189MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 1, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jul 1, 2025 Accepting new patients
Shoal Creek Foot and Ankle Center LLC Foot & Ankle Surgery CurrentSince Oct 26, 2021 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 1, 2023 Accepting new patients
Harrison County Community Hospital District Current Accepting new patients
Shoal Creek Foot and Ankle Center LLC Foot & Ankle Surgery CurrentSince Oct 26, 2021 Accepting new patients
Preferred Podiatry Group of Kansas LLC CurrentSince Aug 21, 2020 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
Nevada City Hospital CurrentSince May 24, 2022 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Aug 24, 2022 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Aug 24, 2022 Accepting new patients
Nevada City Hospital CurrentSince May 24, 2022 Accepting new patients
Nevada City Hospital Past 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
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) 425-0253

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
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Ste 210
Nevada, MO 64772
Phone (417) 448-3603

800 S Ash St
Ste 220
Nevada, MO 64772
Phone (417) 448-2121

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

Interoperability endpoints

  • Direct secure messaging: cpace623879@direct.saint-lukes.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1124548086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N BONDA WAY",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147940",
            "telephone_number": "816-898-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723224",
            "telephone_number": "417-667-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644292400",
            "country_code": "US",
            "telephone_number": "816-632-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Park St",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "647442037",
            "country_code": "US",
            "telephone_number": "417-876-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "12-00465",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2020011189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.