Robert Kelso Duddy I (NPI# 1386650414, PAC ID# 2264461524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1386650414 |
| PAC ID by PECOS | 2264461524 |
| Professional Enrollment ID | I20100908000071 |
| Full Name | Robert Kelso Duddy I |
| Organization Legal Name | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Address |
1015 Bowles Ave Fenton MO 63026-2394 |
| Phone Number | 6364962502 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4688566029 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260163 | PARKLAND HEALTH CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 | 3144321903 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 500 W Pine St, Farmington, MO 63640-1426 | 5737568986 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962502 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 141 E Madison Ave, Suite 100, Kirkwood, MO 63122-4331 | 3148218855 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 34% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 51% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 75% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 85% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 88% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry John Visser I | Podiatry | Mid-west Podiatry and Associates, LLC | 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 |
| Christian Jon Wunderlich | Podiatry | Mid-west Podiatry and Associates, LLC | 141 E Madison Ave, Suite 100, Kirkwood, MO 63122-4331 |
| Carmina Quiroga | Podiatry | Mid-west Podiatry and Associates, LLC | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip | 63026-2394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher B Espana | Family Medicine | Ssm Health Care St Louis | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Shouying Du | Pathology | Comprehensive Pathology Services Lc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Robert M Fischer | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Alexander D Babich | Pathology | Comprehensive Pathology Services Lc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Julie Roach | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Christopher Hamlin | Anesthesiology | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Kenneth E Ross | Family Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | |
| Romel Izquierdo Mera | Internal Medicine | Galen Inpatient Physicians Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Gabriel Cardenas Jr. | Podiatry | 1015 Bowles Ave, Fenton, MO 63026-2394 | |
| James E Kelly | Urology | James E. Kelly M.d. LLC | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | PODIATRY |
| City + Specialty | FENTON + PODIATRY |
Please comment or provide details below to improve the information on Robert Kelso Duddy I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.