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DR. JAMES P EMANUEL M.D.
NPI 1356365423
Orthopaedic Surgery in Creve Coeur, MO

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
845 N NEW BALLAS CT, STE 130, CREVE COEUR, MO 63141(314) 997-1777(317) 997-6277 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James P Emanuel M.d. NPPES

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

DR. JAMES P EMANUEL M.D. (NPI 1356365423) is an individual orthopaedic surgery provider in Creve Coeur, Missouri, licensed in Missouri (R1E25) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Washington University School Of Medicine (1983).

NPPES Registry Identity

NPI1356365423
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES P EMANUELCredential: M.D.
Location Address845 N NEW BALLAS CT, STE 130Creve Coeur, MO 63141-9510
Mailing Address845 N New Ballas Ct, Ste 130Creve Coeur, MO 63141-9510 · (314) 997-1777 · Fax (317) 997-6277
Phone(314) 997-1777
Fax(317) 997-6277
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1983
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1356365423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · R1E25
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
845 N NEW BALLAS CT, Creve Coeur, MO 63141
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Other Identifiers 2

Medicare ID-Type Unspecified002013398MO · Medicare Id
Medicare UPINE27161MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. James P Emanuel 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 ID9335150911
PECOS Enrollment IDI20111215000671
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
189 services78 patients
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.
131 services80 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
97 services82 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.
95 services74 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
92 services72 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.
64 services64 patients

Hospital Affiliations CMS Care Compare

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

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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,868 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
49%178 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
60%83 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%413 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%299 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%1,021 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%413 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 563 patients
Patients tobacco: 83% · 563 patients
10%50 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%413 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
70%413 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 299 patients
0%299 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%413 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CREVE COEUR SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
845 N NEW BALLAS CT, SUITE 100
CREVE COEUR, MO 63141
St. Louis County (314) 872-7100
DR. DAVID CAPLIN M.D.
Surgery (Plastic and Reconstructive Surgery)
845 N NEW BALLAS CT, SUITE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 569-0130
SCOTT WILLIAM ZEHNDER M.D.
Orthopaedic Surgery (Sports Medicine)
845 N NEW BALLAS CT, 2ND FLOOR
SAINT LOUIS, MO 63141
St. Louis County (314) 983-4700
CREVE COEUR SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
845 N NEW BALLAS CT, SUITE 100
CREVE COEUR, MO 63141
St. Louis County (314) 872-7100
DR. LAIRD HENRY VERMONT MD
Pediatrics
845 N NEW BALLAS CT, STE 205
SAINT LOUIS, MO 63141
St. Louis County (314) 859-4460
DR. KSENIJA KOS MD
Psychiatry & Neurology (Neurology)
845 N NEW BALLAS CT, DIV NEUROLOGY COMMUNITY, STE 202
SAINT LOUIS, MO 63141
St. Louis County (557) 747-2529
ELIZABETH ERKER
Dietitian, Registered
845 N NEW BALLAS CT, 2ND FLOOR
SAINT LOUIS, MO 63141
St. Louis County (314) 983-4700
TODD R TIEPELMAN P.T.A
Physical Therapy Assistant
845 N NEW BALLAS CT, SUITE 40
SAINT LOUIS, MO 63141
St. Louis County (314) 872-1644

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 James Emanuel's NPI number?

The NPI number for James Emanuel is 1356365423. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Emanuel located?

James Emanuel practices at 845 N New Ballas Ct Ste 130, Creve Coeur, MO 63141. The listed phone number is (314) 997-1777.

What is James Emanuel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Emanuel enrolled in Medicare?

Yes. James Emanuel 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 James Emanuel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list James Emanuel 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 James Emanuel affiliated with any hospitals?

According to CMS data, James Emanuel is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for James Emanuel was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.