Active NPI
Tim Propeck, M.D.
- Diagnostic Radiology Physician
- St Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2000151559
- Practice address
- 300 First Capitol Drive
St Charles, MO 63301 - Phone
- (636) 947-5444
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2000151559 | MO | Primary |
Addresses
Primary practice location
300 First Capitol Drive
St Charles, MO 63301
Mailing address
220 Compass Point Dr
Saint Charles, MO 63301-4405
Phone (636) 947-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00280646 | Other | MO | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Boston University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5303
1475 Kisker Rd
Suite 160
Saint Charles, MO 63304-8786
Phone (636) 498-7800
1598 W Meyer Rd
SSM Health Wentzville Outpatient Center
Wentzville, MO 63385-3653
Phone (636) 332-8042
164 Professional Pkwy
Suite 164
Troy, MO 63379-2823
Phone (636) 528-0392
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5444
711 Veterans Memorial Pkwy
Saint Charles, MO 63303-2106
Phone (636) 669-2418
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000151559 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Radiologic Imaging Consultants, LLP | Diagnostic Radiology | Current | Accepting new patients |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| Metro Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Boonslick Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
220 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 947-4480
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
164 Professional Pkwy
#164
Troy, MO 63379
Phone (636) 528-0392
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.
-
- Diagnostic Radiology Physician
- St Charles, MO
- NPI 1871689505
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Diagnostic Radiology Physician
- Saint Charles, MO
- NPI 1972666162
-
- Diagnostic Radiology Physician
- Creve Coeur, MO
- NPI 1760578496
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568482123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 COMPASS POINT DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014405",
"telephone_number": "636-947-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FIRST CAPITOL DRIVE",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-947-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROPECK",
"first_name": "TIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2000151559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00280646",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.