NPIMap

Individual provider Active NPI

Dane A. Glueck, MD

  • Orthopaedic Surgery Physician
  • St. Peters, MO
National Provider Identifier
1811075757
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2007023618 Issued in MO
Practice address
112 Piper Hill Drive
Suite 9
St. Peters, MO 63376-1690
Phone
(636) 441-3444
Fax
(636) 441-9832
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2007023618 MO Primary

Addresses

Primary practice location

112 Piper Hill Drive
Suite 9
St. Peters, MO 63376-1690

Mailing address

P.O. Box 430
St. Peters, MO 63376-0008
Phone (636) 441-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20071112000066 MO Practitioner - Orthopedic Surgery 3779519970 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progress West Healthcare Center PastSince May 1, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dane.glueck@abj.directbygreenway.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters Bone and Joint Surgery Inc 26 clinicians
Aging Well Health Care, LLC 236 clinicians

Practice addresses (Care Compare)

4701 State Hwy K
O Fallon, MO 63368-8692
Phone (636) 441-3444

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

  • Progress West Hospital Hospital, Ofallon, MO, CCN 260219
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
96.04
Improvement activities
40
Cost
89.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1811075757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 430",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "633760008",
            "telephone_number": "636-441-3444",
            "fax_number": "636-441-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DRIVE",
            "address_2": "SUITE 9",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-441-3444",
            "fax_number": "636-441-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECK",
        "first_name": "DANE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2007023618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Peters, MO

Sources for this page

Verify at the official NPI Registry.