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CLAIRE BARTUSCH PA
NPI 1386358042
Physician Assistant in Eureka, MO

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
20 THE LEGENDS PKWY STE 100, EUREKA, MO 63025(636) 549-0121(636) 549-0122 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claire Bartusch Pa NPPES

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

CLAIRE BARTUSCH PA (NPI 1386358042) is an individual physician assistant in Eureka, Missouri, licensed in Missouri (1216926) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386358042
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLAIRE BARTUSCHCredential: PA
Location Address20 THE LEGENDS PKWY STE 100Eureka, MO 63025-3825
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 549-0121 · Fax (636) 549-0122
Phone(636) 549-0121
Fax(636) 549-0122
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 9, 2023
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1386358042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 1216926
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20 THE LEGENDS PKWY STE 100, Eureka, MO 63025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.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

Claire Bartusch Pa 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 ID7214373919
PECOS Enrollment IDI20240315000920
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 2

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.
69 services54 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.
37 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63025 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.

Other Providers at the Same Location NPPES 2

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

ASHLY NICOLE FISHER DO
Internal Medicine
20 THE LEGENDS PKWY STE 100
EUREKA, MO 63025
St. Louis County (636) 549-0121
SARAH ELISABETH RADECKI PA
Physician Assistant
20 THE LEGENDS PKWY STE 100
EUREKA, MO 63025
St. Louis County (636) 549-0121

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 Claire Bartusch's NPI number?

The NPI number for Claire Bartusch is 1386358042. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Claire Bartusch located?

Claire Bartusch practices at 20 The Legends Pkwy Ste 100, Eureka, MO 63025. The listed phone number is (636) 549-0121.

What is Claire Bartusch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Claire Bartusch enrolled in Medicare?

Yes. Claire Bartusch 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 Claire Bartusch accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Claire Bartusch 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 Claire Bartusch affiliated with any hospitals?

According to CMS data, Claire Bartusch is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Claire Bartusch was last updated on March 11, 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.