Daniel H Brune, M.D.
Individual provider Active NPI Family Medicine Physician · Creve Coeur, IL
NPI 1982896551 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1982896551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 120 Wagner Dr
Creve Coeur, IL 61610-3966 - Phone
- (309) 699-6923
- Fax
- (309) 699-5226
- NPI assigned
- Aug 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 Wagner Dr
Creve Coeur, IL 61610-3966
Phone (309) 699-6923
Hospital & facility affiliations
- St. Francis Medical Center
- Elysian Hospice, Inc.
- Northwestern Medicine Central Dupage Hospital
- Saint Francis Medical Center
- Carle Health Pekin Hospital
- Carle Health Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.81 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 14 |
| Removal or shaving of skin growth | 71 |
| Skin biopsy | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Elysian Hospice Inc |
Hospice | Contracted Managing Employee | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070927000543 | IL | Practitioner - Family Practice | 5597850115 | Practice locations: Creve Coeur, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
120 Wagner Dr
Creve Coeur, IL 61610-3966
Mailing address
120 Wagner Dr
Creve Coeur, IL 61610-3966
Phone (309) 699-6923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4064057 | Other | IL | AETNA |
| 203144 | Other | IL | ONE HEALTH PLAN |
| 890633 | Other | IL | FIRST HEALTH |
| 9021691 | Other | BLUE CROSS BLUE SHIELD | |
| 010785 | Other | IL | HEALTH ALLIANCE |
| 149034 | Other | IL | HEALTHLINK |
Other providers in Creve Coeur, IL
- Michael Bentley
- Daniel Robert Brune
- Dennis Lane Conway
- Creve Coeur School Dist No 76
- Heinz Creve Coeur Pharmacy Inc
- Margaret Johnson
All providers in Creve Coeur, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.