DR. ANTHONY KRUSE M.D.
NPI 1306256375
Internal Medicine in Washington, MO

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
901 E 5TH ST, WASHINGTON, MO 63090(636) 239-8231(636) 390-7365 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony Kruse M.d. NPPES

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

DR. ANTHONY KRUSE M.D. (NPI 1306256375) is an individual internal medicine provider in Washington, Missouri, licensed in Missouri (2017021699) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (2014).

NPPES Registry Identity

NPI1306256375
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTHONY KRUSECredential: M.D.
Location Address901 E 5TH STWashington, MO 63090-3127
Mailing Address7051 Black Horse DrO Fallon, MO 63368-6207 · (314) 422-8580
Fax(636) 390-7365
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2014
Enumeration DateApril 30, 2014
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1306256375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2017021699
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

901 E 5TH ST, Washington, MO 63090

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Kruse M.d. 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 ID6800198227
PECOS Enrollment IDI20170822002319
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
239 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
175 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$2.77 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 20

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

Internal Medicine
901 E 5TH ST
WASHINGTON, MO 63090
Registered Nurse (Maternal Newborn)
901 E 5TH ST
WASHINGTON, MO 63090
Emergency Medicine
901 E 5TH ST
WASHINGTON, MO 63090
Internal Medicine
901 E 5TH ST
WASHINGTON, MO 63090
Emergency Medicine
901 E 5TH ST
WASHINGTON, MO 63090
Dietitian, Registered
901 E 5TH ST
WASHINGTON, MO 63090
Pharmacist
901 E 5TH ST
WASHINGTON, MO 63090
Family Medicine
901 E 5TH ST, MEDICAL STAFF OFFICE
WASHINGTON, MO 63090

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 Anthony Kruse's NPI number?

The NPI number for Anthony Kruse is 1306256375. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Anthony Kruse located?

Anthony Kruse practices at 901 E 5th St, Washington, MO 63090. The listed phone number is (636) 239-8231.

What is Anthony Kruse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Kruse enrolled in Medicare?

Yes. Anthony Kruse 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.

What insurance does Anthony Kruse accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Anthony Kruse 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 Anthony Kruse affiliated with any hospitals?

According to CMS data, Anthony Kruse is affiliated with Mercy Hospital St Louis and Mercy Hospital Washington.

When was this NPI record last updated?

The NPPES record for Anthony Kruse was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.