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MR. JERRY M LIDDELL DPM
NPI 1700872611
Podiatrist - Foot & Ankle Surgery in Saint Louis, MO

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4901 FOREST PARK AVE, DIV SURG ACCS PODIATRY, STE 420, SAINT LOUIS, MO 63108(314) 747-4769(888) 824-2176 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Apr 18, 2022 and 3 more (6 updates tracked since 2019).

About Mr. Jerry M Liddell Dpm NPPES

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

MR. JERRY M LIDDELL DPM (NPI 1700872611) is an individual foot & ankle surgery provider in Saint Louis, Missouri, licensed in Missouri (2005018735) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2002).

NPPES Registry Identity

NPI1700872611
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMR. JERRY M LIDDELLCredential: DPM
Location Address4901 FOREST PARK AVE, DIV SURG ACCS PODIATRY, STE 420Saint Louis, MO 63108-1495
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-4769 · Fax (888) 824-2176
Phone(314) 747-4769
Fax(888) 824-2176
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2002
Enumeration DateSeptember 26, 2005
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
✔ NPI 1700872611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MO · 2005018735
4901 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Other Identifiers 1

Medicaid307371203MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Mr. Jerry M Liddell Dpm 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 ID7810929759
PECOS Enrollment IDI20050831000541
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 17

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
233 services33 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
77 services35 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.
75 services65 patients
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.
43 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services16 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
27 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
68%455 patients3/55-star benchmark: 98%
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.
97%2,128 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.
96%906 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
25%523 patients2/55-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.
100%958 patients5/55-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.
22%1,458 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%523 patients2/55-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…
16%1,125 patients1/55-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
50%459 patients3/55-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: 90% · 387 patients
69%39 patients3/55-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…
20%1,458 patients1/55-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 20

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

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JILLIAN MEI-LING LIU MD PHD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211

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 Jerry Liddell's NPI number?

The NPI number for Jerry Liddell is 1700872611. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Jerry Liddell located?

Jerry Liddell practices at 4901 Forest Park Ave Div Surg Accs Podiatry, Ste 420, Saint Louis, MO 63108. The listed phone number is (314) 747-4769.

What is Jerry Liddell's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jerry Liddell enrolled in Medicare?

Yes. Jerry Liddell 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 Jerry Liddell accept?

Health plans from Cox HealthPlans list Jerry Liddell 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 Jerry Liddell affiliated with any hospitals?

According to CMS data, Jerry Liddell is affiliated with Barnes Jewish Hospital, Barnes-Jewish West County Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Jerry Liddell was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.