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CRAIG RYAN THIESSEN M.D.
NPI 1932555919
Ophthalmology in Saint Charles, MO

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
3513 HARRY S TRUMAN BLVD, SAINT CHARLES, MO 63301(636) 688-7500 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2022, Sep 22, 2020, May 10, 2016 (3 updates tracked since 2016).

About Craig Ryan Thiessen M.d. NPPES

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

CRAIG RYAN THIESSEN M.D. (NPI 1932555919) is an individual ophthalmology provider in Saint Charles, Missouri, licensed in Missouri (2020015510) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Sullivan Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1932555919
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameCRAIG RYAN THIESSENCredential: M.D.
Location Address3513 HARRY S TRUMAN BLVDSaint Charles, MO 63301-4077
Mailing Address12990 Manchester Rd Ste 201Des Peres, MO 63131-1860 · (901) 828-0297
Phone(636) 688-7500
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1932555919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MO · 2020015510✔ Licensed in TN · 62010
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3513 HARRY S TRUMAN BLVD, Saint Charles, MO 63301
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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 Louisiana Healthcare Connections 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

Craig Ryan Thiessen 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 ID2062702624
PECOS Enrollment IDI20221216002087
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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
266 services153 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.
193 services193 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
189 services154 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.
60 services58 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.
54 services38 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261337
Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63301 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers28 claims28 services$63.38 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims22 services$35.79 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims30 services$35.78 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 2

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

AMY MOLINA O.D.
Optometrist
3513 HARRY S TRUMAN BLVD
SAINT CHARLES, MO 63301
St. Charles County (636) 688-7500
OPHTHALMOLOGY CONSULTANTS, LLC
Durable Medical Equipment & Medical Supplies
3513 HARRY S TRUMAN BLVD
SAINT CHARLES, MO 63301
St. Charles County (636) 688-7500

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 Craig Thiessen's NPI number?

The NPI number for Craig Thiessen is 1932555919. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Craig Thiessen located?

Craig Thiessen practices at 3513 Harry S Truman Blvd, Saint Charles, MO 63301. The listed phone number is (636) 688-7500.

What is Craig Thiessen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Craig Thiessen enrolled in Medicare?

Yes. Craig Thiessen 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 Craig Thiessen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 8 other insurers list Craig Thiessen 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 Craig Thiessen affiliated with any hospitals?

According to CMS data, Craig Thiessen is affiliated with Missouri Baptist Sullivan Hospital.

When was this NPI record last updated?

The NPPES record for Craig Thiessen was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.