Lawrence L Ciesemier
KIRKSVILLE ALLERGY AND ASTHMA, LLC


Address: 610 Rosewood Dr, Kirksville, MO 63501-2477
Phone: 6606272553

Lawrence L Ciesemier (NPI# 1952464190, PAC ID# 2264450659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.

Physician Overview

Nation Provider ID (NPI) 1952464190
PAC ID by PECOS 2264450659
Professional Enrollment ID I20051104000211
Full Name Lawrence L Ciesemier
Organization Legal Name KIRKSVILLE ALLERGY AND ASTHMA, LLC
Address 610 Rosewood Dr
Kirksville
MO 63501-2477
Phone Number 6606272553
Gender M
Credential DO
Medical School KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1997
Primary Specialty ALLERGY/IMMUNOLOGY
Group Practice PAC ID 4284652678
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
161327 DAVIS COUNTY HOSPITAL
260022 NORTHEAST REGIONAL MEDICAL CENTER
261305 PUTNAM COUNTY MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
100 Medical Dr, Hannibal, MO 63401-6877 5732215250 HANNIBAL CLINIC OPERATIONS, LLC
610 Rosewood Dr, Kirksville, MO 63501-2477 6606272553 KIRKSVILLE ALLERGY AND ASTHMA, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 90%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 44%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name KIRKSVILLE ALLERGY AND ASTHMA, LLC
Physicians 1

Office Location

Street Address 610 ROSEWOOD DR
City KIRKSVILLE
State MO
Zip 63501-2477

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Daniel R Richert Qualified Audiologist Woodward Audiology, LLC 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441
Emily J Finley Audiologist Woodward Audiology, LLC 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441
Ronald Leland Phillips Family Practice At Still University of Health Sciences 800 W Jefferson, Kirksville, MO 63501-1443
Tyler O'neil Eschbach Physician Assistant Kirksville Clinic Corp 800 W Jefferson St, Kirksville, MO 63501-1443
Jessica Kile Caine General Surgery Heartland Surgical Specialists LLP 800 W Jefferson St, Kirksville, MO 63501-1443
Jonathan M Beary Neurology Kirksville Clinic Corp 800 W Jefferson St, Kirksville, MO 63501-1443
Philip S Mcintire General Surgery Heartland Surgical Specialists LLP 800 W Jefferson St, Kirksville, MO 63501-1443
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Competitor

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City KIRKSVILLE
Zip Code 63501
Specialty ALLERGY/IMMUNOLOGY
City + Specialty KIRKSVILLE + ALLERGY/IMMUNOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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