Active NPI
Yvonne Elaine Baumrucker, DPM
- Foot & Ankle Surgery Podiatrist
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.006013
- Practice address
- 122 E Zupan St
Maryville, IL 62062-2010 - Phone
- (618) 344-4449
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.006013 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
122 E Zupan St
Maryville, IL 62062-2010
Mailing address
122 E Zupan St
Maryville, IL 62062-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12101 Woodcrest Executive Dr
Suite 101
Saint Louis, MO 63141-5047
Phone (317) 576-4500
122 E Zupan St
Maryville, IL 62062-2010
Phone (618) 344-4449
Hospital & facility affiliations
- Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 54.52
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.56 of 100
- Quality
- 67.11
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 62 |
| Removal of skin lesions | 55 |
| Removal of nail tissue | 707 |
| Removal or shaving of skin growth | 163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Health Centers PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Center, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Center, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Center, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
5400 N Illinois St
Fairview Heights, IL 62208
5400 N Illinois St
Ste 104
Fairview Heights, IL 62208
Phone (618) 235-1500
122 E Zupan St
Maryville, IL 62062
Phone (618) 344-4449
509 Hamacher St
Ste 202
Waterloo, IL 62298
Phone (314) 997-1777
12101 Woodcrest Executive Dr
Ste 101
Saint Louis, MO 63141
Phone (314) 576-4500
1299 Reavis Barracks Rd
Saint Louis, MO 63125
Phone (314) 487-9300
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fairview Heights, IL
- NPI 1942427026
-
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1346389095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1134749088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E ZUPAN ST",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620622010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E ZUPAN ST",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620622010",
"telephone_number": "618-344-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMRUCKER",
"first_name": "YVONNE",
"middle_name": "ELAINE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.006013",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.