Individual provider Active NPI

Christopher W Kling, M.D.

  • Dermatology Physician
  • Wildwood, MO
National Provider Identifier
1467449934
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2005001331 Issued in MO
Practice address
16759 Main St
Suite 201
Wildwood, MO 63040-1232
Phone
(636) 821-1661
Fax
(636) 821-1665
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2005001331 MO Primary

Addresses

Primary practice location

16759 Main St
Suite 201
Wildwood, MO 63040-1232

Mailing address

16759 Main St
Suite 201
Wildwood, MO 63040-1232
Phone (636) 821-1661

Other identifiers 8

IdentifierTypeStateIssuer
707807OtherMOHEALTHLINK
241943OtherMOGROUP HEALTH PLAN
5630105OtherMOFIRST HEALTH
7770611OtherMOAETNA
STL2505238OtherMOUNITED HEALTHCARE
CN5366OtherMORR MEDICARE
P00219384OtherMORAILROAD MEDICARE
197539OtherMOBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000039 MO Practitioner - Dermatology 0143273433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Kling, M.D., Inc.Group PAC ID 7113072414, 4 clinicians

Practice addresses (Care Compare)

16759 Main St
Suite 201
Wildwood, MO 63040-1232
Phone (636) 821-1661

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1462
Removal or shaving of skin growth1-10
Skin biopsy174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Kling, M.D., Inc. Dermatology CurrentSince Aug 13, 2009 Accepting new patients
Mercy Clinic Dermatology LLC Dermatology Past Accepting new patients
Lawrence E. Samuels M.D., Inc. Dermatology PastSince Aug 8, 2010 Accepting new patients

Locations

16759 Main St
Ste 201
Wildwood, MO 63040
Phone (636) 821-1661

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1467449934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16759 MAIN ST",
            "address_2": "SUITE 201",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401232",
            "telephone_number": "636-821-1661",
            "fax_number": "636-821-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16759 MAIN ST",
            "address_2": "SUITE 201",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401232",
            "telephone_number": "636-821-1661",
            "fax_number": "636-821-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLING",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2005001331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "707807",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "241943",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5630105",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7770611",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "STL2505238",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN5366",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00219384",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "197539",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

Verify at the official NPI Registry.