Anastasia A Averbukh
ST LOUIS DERMATOLOGY LLC


Address: 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387
Phone: 3142002713

Anastasia A Averbukh (NPI# 1073903134, PAC ID# 5698093912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1073903134
PAC ID by PECOS 5698093912
Professional Enrollment ID I20150417000778
Full Name Anastasia A Averbukh
Organization Legal Name ST LOUIS DERMATOLOGY LLC
Address 1011 Bowles Ave
Suite 121
Fenton
MO 63026-2387
Phone Number 3142002713
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7517197247
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 3142002713 ST LOUIS DERMATOLOGY LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_238_2+ Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_238_overall Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_265_overall Biopsy Follow-Up 100%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 100%

Organization Information

Organization Legal Name ST LOUIS DERMATOLOGY LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Elizabeth Anne Rancour Dermatology St Louis Dermatology LLC 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387
Jeffrey E Petersen Dermatology St Louis Dermatology LLC 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387

Office Location

Street Address 1011 BOWLES AVE
SUITE 121
City FENTON
State MO
Zip 63026-2387

Physicians in the same location

Name Specialty Organization Address
Susan J Davis Family Medicine Ssm Medical Group Inc 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387
Lawrence V Boveri Obstetrics/gynecology County Obstetrics and Gynecology, Inc 1011 Bowles Ave, Suite 215, Fenton, MO 63026-2387
Eddy Chung-chiang Hsueh General Surgery St Louis University 1011 Bowles Ave, Suite 425, Fenton, MO 63026-2384
Sean B Bailey Otolaryngology Sound Health Services PC 1011 Bowles Ave, Suite 405, Fenton, MO 63026-2387
Richard B Whiting Internal Medicine Ssm Medical Group Inc 1011 Bowles Ave, Fenton, MO 63026-2387
Sarah J Ludlow Family Medicine Ssm Medical Group Inc 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387
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
Elizabeth Anne Rancour Dermatology St Louis Dermatology LLC 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387
Timothy J Pratt Internal Medicine 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387
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Physicians in the same zip code

Name Specialty Organization Address
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
Hari T Srihari Cardiovascular Disease (cardiology) Ssm Medical Group Inc 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308
Chad C Shelton Interventional Pain Management Pro Pain LLC 1055 Bowles Ave, Suite 202, Fenton, MO 63026-2308
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Competitor

Search similar physicians

City FENTON
Zip Code 63026
Specialty NURSE PRACTITIONER
City + Specialty FENTON + NURSE PRACTITIONER

Improve Information

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Dataset Information

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.

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