NPIMap

Individual provider Active NPI

Christopher John Stucke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Marys, OH
National Provider Identifier
1386090843
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003875 Issued in OH
Practice address
1013 E Spring St
Saint Marys, OH 45885-2447
Phone
(419) 394-8664
Fax
(419) 394-1148
NPI assigned
May 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 36.003875 OH Primary

Addresses

Primary practice location

1013 E Spring St
Saint Marys, OH 45885-2447

Mailing address

1140 S Knoxville Ave Ste D
Saint Marys, OH 45885-2609
Phone (419) 300-1129

Other practice location 1

123 Hamilton St Ste B
Celina, OH 45822-1909
Phone (419) 394-3387

Other identifiers 2

IdentifierTypeStateIssuer
H636970OtherOHMEDICARE
0356419MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christopherstucke@glhs.allscriptsdirect.net
Direct Messaging Address christopherstucke@glhs.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823003501 OH Practitioner - Podiatry 3577891878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLC 48 clinicians

Practice addresses (Care Compare)

1013 E Spring St
Saint Marys, OH 45885-2447
Phone (419) 394-8664

Hospital & facility affiliations

  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue183
Removal of skin lesions118
Removal of nail tissue760
Removal or shaving of skin growth130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003875OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Foot & Ankle Surgery CurrentSince Jun 22, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients

Locations

123 Hamilton St
Ste B
Celina, OH 45822
Phone (419) 394-3387

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1013 E Spring St
Saint Marys, OH 45885
Phone (419) 394-8664

1140 S Knoxville Ave
Ste D
Saint Marys, OH 45885

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

Interoperability endpoints

  • Direct secure messaging: cstucke224392@direct.bsmhealth.org
  • Direct secure messaging: christopherstucke@glhs.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grand Lake Health SystemSaint Marys, OH, CCN 360032 Hospital Corporate Director Jan 1, 2024
Joint Township District Memorial HospitalSaint Marys, OH, CCN 36T032 Hospital Corporate Director Jan 1, 2024
GLHS Inpatient Psychiatric ServicesSaint Marys, OH, CCN 36S032 Hospital Corporate Director Jan 1, 2024
Grand Lake Physician PracticesSaint Marys, OH, CCN 365807 Skilled nursing facility Corporate Director
Managing Control - Governing Body		 Jan 1, 2024
Jan 1, 2024
Grand Lake Home HealthSaint Marys, OH, CCN 367405 Home health agency Corporate Director Jan 1, 2024
Grand Lake HospiceSt Marys, OH, CCN 361636 Hospice Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 5

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1386090843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE D",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-300-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852447",
            "telephone_number": "419-394-8664",
            "fax_number": "419-394-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hamilton St Ste B",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458221909",
            "country_code": "US",
            "telephone_number": "419-394-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H636970",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356419",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopherstucke@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "123 Hamilton St Ste B",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458221909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopherstucke@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1013 E Spring St",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.