1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Neurological Surgery
  6. NPI Profile

DR. SARAH JOST FOUKE MD
NPI 1154433712
Neurological Surgery in O Fallon, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
3 SAINT ELIZABETH BLVD STE 3900, O FALLON, IL 62269(888) 828-8608(314) 558-9017 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2022, Feb 3, 2022 (2 updates tracked since 2022).

About Dr. Sarah Jost Fouke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARAH JOST FOUKE MD (NPI 1154433712) is an individual neurological surgery provider in O Fallon, Illinois, licensed in Illinois (036157579) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154433712
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameDR. SARAH JOST FOUKECredential: MD
Location Address3 SAINT ELIZABETH BLVD STE 3900O Fallon, IL 62269-1282
Mailing Address12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · (314) 806-1770 · Fax (314) 558-9017
Phone(888) 828-8608
Fax(314) 558-9017
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1154433712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in IL · 036157579✔ Licensed in MO · 2015017231
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3 SAINT ELIZABETH BLVD STE 3900, O Fallon, IL 62269
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Sarah Christine Jost Md

Secondary Practice Locations 2

Location 15301 Veterans Memorial Pkwy Ste 105Saint Peters, MO 63376-3429 · Phone (888) 828-8609 · Fax (314) 558-9017
Location 212855 N 40 Dr Ste 125Saint Louis, MO 63141-8663 · Phone (314) 806-1770 · Fax (314) 558-9017

Other Identifiers 3

Other113620051MO · Medicare Mo
Medicaid200063204MO
OtherF400775751IL · Medicare Il

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sarah Jost Fouke Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476551409
PECOS Enrollment IDI20061129000247, I20210825001012
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sarah Fouke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anderson Medical Group, LLC
12 mi
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711
Urology Of St. Louis, Inc.
27 mi
Specialist
12855 N 40 DR STE 375
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 55 clinicians in this Medicare group
NPI 1528017191 (314) 567-6071
Neurosurgery And Neurology LLC
34 mi
Specialist
111 SAINT LUKES CENTER DR STE 20B
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 17 clinicians in this Medicare group
NPI 1134291388 (636) 685-7745

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
26 services17 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
21 services21 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier12 claims12 services$3,755.61 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier13 claims13 services$479.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN J JOHANS M.D.
Neurological Surgery
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (888) 828-8608
UROLOGY OF ST. LOUIS, INC.
Specialist
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (314) 806-1770
MS. MEGAN SAMANTHA KNETZER FNP
Nurse Practitioner (Family)
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (314) 806-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Fouke's NPI number?

The NPI number for Sarah Fouke is 1154433712. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Dr. Sarah Christine Jost MD.

Where is Sarah Fouke located?

Sarah Fouke practices at 3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269. The listed phone number is (888) 828-8608.

What is Sarah Fouke's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sarah Fouke enrolled in Medicare?

Yes. Sarah Fouke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Fouke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Fouke reassigns Medicare benefits to 3 organizations: Anderson Medical Group, LLC (Maryville, IL), Urology Of St. Louis, Inc. (Saint Louis, MO) and Neurosurgery And Neurology LLC (Chesterfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Fouke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Fouke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Providence Health Plan and UnitedHealthcare list Sarah Fouke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Fouke affiliated with any hospitals?

According to CMS data, Sarah Fouke is affiliated with St Anthonys Memorial Hospital, Hshs Holy Family Hospital Inc, Hshs St Elizabeth's Hospital, Sarah Bush Lincoln Health Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Fouke was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.