John Michael Feuerbacher, M.D.
Individual provider Active NPI Family Medicine Physician · Maryville, MO
NPI 1669476354 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1669476354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2000160753 (MO)
- Practice address
- 2016 S Main St
Maryville, MO 64468-2655 - Phone
- (660) 562-2525
- Fax
- (660) 562-4303
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- College of Physicians and Surgeons (Iowa), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- White Cloud Health Center LLC
Practice addresses (Care Compare)
3349 B Thrasher Rd
White Cloud, KS 66094-4005
Phone (785) 595-3450
Hospital & facility affiliations
- Hiawatha Community Hospital
- Community Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 81.83
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221103001491 | TX | Practitioner - Family Practice | 8325174188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Cloud Health Center, LLC | Current |
Accepting new patients | |
| University Health Physicians | Family Medicine | Past | Accepting new patients |
| Kickapoo Nation Health Center | Past |
Accepting new patients |
Locations
3349B Thrasher Rd
White Cloud, KS 66094
Phone (785) 595-3450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2000160753 | MO | Yes |
Addresses
Primary practice location
2016 S Main St
Maryville, MO 64468-2655
Mailing address
114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-2525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0553867 | Medicaid | IA | |
| 205022015 | Medicaid | MO |
Other providers in Maryville, MO
- Pamela L Euler
- Kevan James Evans
- Shellie Kathleen Faris
- Jeff Farnan
- Terra R Feick
- Charles S Fillingane II
- Lisa Finney
- Dallas Dustin Fitzgerald
- Miranda Marie Floyd
- Jack L Forest
All providers in Maryville, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.