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Deactivated NPI 1265742449 Deactivated / Inactive NPI Male Practitioner

Dr. Richar49458751 B Chusak , MD

Plastic Surgery • Bridgeton, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richar49458751 Chusak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2010
NPI Deactivation Date October 21, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richar49458751 Chusak, MD was a registered Plastic Surgery practicing in Bridgeton, MO. Throughout an active medical career spanning 13 years, Dr. Chusak provided care at the practice location at 3478 BRIDGELAND DR until profile deactivation on 2023-10-21.

Practice Location & Contact Primary Location

Practice Address

3478 Bridgeland Dr
Suite1

Bridgeton, MO 630442619

Telephone 3149604929
Associated Practice Facility / Clinic
🏢 Berwald Surgical Medical Inc Facility NPI 1548345838

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Bridgeton, MO (113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MO 33233

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Riley Katsev , DDS

Dentist - General Practice

NPI 1033950738

Doctor of Dental Surgery

Dr. Bruce Berwald , MD

Internal Medicine

NPI 1376647644

Doctor of Medicine (M.D.)

NPI 1417058959

Doctor of Medicine (M.D.)

NPI 1447334875

Doctor of Dental Surgery

Dr. David Berwald , MD

General Practice

NPI 1811084734

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2023

Record deactivated on October 21, 2023

NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2010

Registered at 3478 BRIDGELAND DR, SUITE1, BRIDGETON, MO 630442619 (Tel: 3149604929)

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Updated Business Mailing Address October 20, 2010

Registered at 12773 SPRUCE POND DR, SAINT LOUIS, MO 631311119 (Tel: 3149604929)

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Provider Name / Credentials Updated October 20, 2010

Recorded as RICHAR49458751 CHUSAK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Plastic Surgery (License #33233 in MO)

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Initial NPI Registration & Enumeration October 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265742449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2010
Last Update: October 20, 2010
Deactivation Date: October 21, 2023

Mailing Address

12773 Spruce Pond Dr

Saint Louis, MO 631311119

Phone: 3149604929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.