Individual provider Active NPI

Yvonne Elaine Baumrucker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Maryville, IL
National Provider Identifier
1134749088
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.006013 Issued in IL
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

Updated by the provider on Sep 15, 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 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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230629001872 MO Practitioner - Podiatry 0648639237 Reassigns benefits to 2 organizations
I20230706000858 IL Practitioner - Podiatry 0648639237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Health Centers PCGroup PAC ID 2769472661, 4 clinicians

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 Hospital, Maryville, IL, CCN 140289

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
54.52
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.56 of 100Reported as group
Quality
67.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue62
Removal of skin lesions55
Removal of nail tissue707
Removal or shaving of skin growth163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Health Centers PC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery PastSince May 1, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.