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RACHEL MARIE QUALLEY M.D.
NPI 1518078567
Dermatology in Wildwood, MO

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
16516 MANCHESTER RD, WILDWOOD, MO 63040(636) 458-8400(636) 458-8404 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Sep 21, 2021, Feb 23, 2021 and 3 more (6 updates tracked since 2015).

About Rachel Marie Qualley M.d. NPPES

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

RACHEL MARIE QUALLEY M.D. (NPI 1518078567) is an individual dermatology provider in Wildwood, Missouri, licensed in Missouri (2019032056) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1518078567
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameRACHEL MARIE QUALLEYCredential: M.D.
Location Address16516 MANCHESTER RDWildwood, MO 63040-1217
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(636) 458-8400
Fax(636) 458-8404
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 16, 20256 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1518078567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · 2019032056
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
16516 MANCHESTER RD, Wildwood, MO 63040
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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

Rachel Marie Qualley 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 ID9931161486
PECOS Enrollment IDI20041028000024
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
413 services90 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.
256 services224 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
158 services144 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
118 services114 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
77 services70 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
66 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63040 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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Advance Care Plan
80%528 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%63 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 386 patients
99%386 patients
Provide Patients Electronic Access to Their Health Information
97%608 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
96%117 patients4/55-star benchmark: 100%
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 4

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

ANNE T. RIORDAN, M.D. P.C
Dermatology
16516 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 458-8400
FOREFRONT DERMATOLOGY, S.C.
Dermatology
16516 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 458-8400
ANNE T RIORDAN MD
Dermatology
16516 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 458-8400
MRS. MARI E. JANKO PA
Physician Assistant
16516 MANCHESTER RD
WILDWOOD, MO 63040
St. Louis County (636) 458-8400

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 Rachel Qualley's NPI number?

The NPI number for Rachel Qualley is 1518078567. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Rachel Qualley located?

Rachel Qualley practices at 16516 Manchester Rd, Wildwood, MO 63040. The listed phone number is (636) 458-8400.

What is Rachel Qualley's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rachel Qualley enrolled in Medicare?

Yes. Rachel Qualley 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 Rachel Qualley 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 5 other insurers list Rachel Qualley 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.

When was this NPI record last updated?

The NPPES record for Rachel Qualley was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.