Thomas J. Stauder, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

105229 Issued in MO

Practice address

1906 Powderhorn Pass CT
Wildwood, MO 63011-1717

Phone

(636) 458-4188

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Specialty

Allergy/ImmunologyAlso: Emergency Medicine, Internal Medicine

Education

Saint Louis University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iron County Hospital District 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iron County Medical Center Hospital, Pilot Knob, MO, CCN 261336
• Iron County Medical Center Nursing home, CCN 26Z336

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

53.06

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: thomas.stauder.1@16878.direct.athenahealth.com

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.

• Iron County Hospital District

  • Critical Access Hospital
  • Pilot Knob, MO
  • NPI 1477648178

  MO

  Medicare reassignment Care Compare group NPD
• Iron County Hospital District

  • Rural Health Clinic/Center
  • Pilot Knob, MO
  • NPI 1073799367
  Care Compare group NPD
• Allergy and Asthma Consultants, PC

  • Allergy Physician
  • St. Louis, MO
  • NPI 1427189950

  Allergy

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iron County Hospital District

  • Critical Access Hospital
  • Pilot Knob, MO
  • NPI 1477648178

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1679568570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 POWDERHORN PASS CT",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630111717",
            "telephone_number": "636-458-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 POWDERHORN PASS CT",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630111717",
            "telephone_number": "636-458-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105229",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "105229",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "105229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679568570",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "383495136",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208237339",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E Denise Smith, MA, PLPC
• Holly Smith, BCABA
• Susan Snyders, MA
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• Gregory S St. John, DDS
• Michelle Steeg, MA, PLPC
• Peggy Stiffler, RNFA
• Sunlight Psychiatry and Wellness, LLC
• Kristi Thebeau, RN, BSN, CNOR
• Therapeuo Counseling LLC

• All providers in Wildwood, MO
• Allergy Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.

Verify at the official NPI Registry.