SGCMH Clinics

Pine Drive Medical Centre

Phone 573-883-7474
Fax: 573-883-7647
Hours: Mon - Fri 8:00 am - 5:00 pm

The primary care team fosters a professional, confidential and caring atmosphere where patients are encouraged to ask questions about their health. Medical care for general pediatrics, family medicine, adult medicine, geriatrics, as well as sports physicals, and preventive care for the entire family.

Susan M. O'Donnell, MD
Erika Leung, MD
Matthew Bosner, MD, FACC, FACP
Kevin Enger, MD
Zaki Chowdhury, MD
Chandra Dommaraju, MD
Aswin Kansakar, MD
Melissa Naeger, BSN, FNP
Kimberly L. Browne, MSN, ANP-BC, CUNP
Robin D. Goff, MSN, FNP-BC, CUNP
Kelly Grein, MSN, FNP-C
Morgan Ritter, MSN, APRN, FNP-C, CNL

Home Visits

Anne Wolk, MSN, FNP-C

Chronic Care Management 

What is Medicare Chronic Care Management (CCM)?

Chronic care management (CCM) services are the non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline.

CCM Patient Eligibility

• Physician or provider referral.

• Medicare Part B Insurance. The patient may pay a fee for CCM, the Part B deductible and coinsurance apply. If the patient has supplemental insurance, or have both Medicare and Medicaid, it may help cover the fee.

• 2 or more chronic conditions lasting at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline.

• Patient signed consent.

Ideal CCM Patient

• High risk of hospitalization or regularly seen in the emergency room

• Regularly call into the clinic to manage symptoms or with medical questions

• High number of specialists involved in their care or have limited social/family support

Benefits of Providing CCM Services

• Team of health care professionals

• Personalized care plan

• Focused support between medical visits

• Better care transitions

• Increased self-management