MR. KEVIN DU PA
NPI 1457008088
Physician Assistant in Saint Louis, MO

NPI Status: Active since March 03, 2022

Contact Information

1 BARNES JEWISH HOSPITAL PLZ
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (800) 862-9980
Fax: (314) 362-1185

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  • Individual
  • Male
  • Years of Experience 3
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KEVIN DU

This page provides the complete NPI Profile along with additional information for Kevin Du, a primary care provider established in Saint Louis, Missouri with a medical specialization in Physician Assistant and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1457008088 assigned on March 2022. The practitioner's primary taxonomy code is 363A00000X with license number 2023030018 (MO). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1457008088
Provider Name
MR. KEVIN DU PA
Gender
Male
Entity Type
Individual
Location Address
1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY SAINT LOUIS, MO 63110
Location Phone
(800) 862-9980
Location Fax
(314) 362-1185
Mailing Address
660 S EUCLID AVE CB 8054 SAINT LOUIS, MO 63110
Mailing Phone
(800) 862-9980
Mailing Fax
(314) 362-1185
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
03-03-2022
Last Update Date
08-08-2023
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A primary care provider (PCP) like Kevin Du sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2023030018
License State
MO
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
  • Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • WellFirst by Medica Bronze $0 Copay PCP Visits - EPO
  • WellFirst by Medica Bronze Share - EPO
  • WellFirst by Medica Catastrophic - EPO
  • WellFirst by Medica Expanded Bronze Standard - EPO
  • WellFirst by Medica Gold $0 Copay PCP Visits - EPO
  • WellFirst by Medica Gold Copay Plus - EPO
  • WellFirst by Medica Gold Standard - EPO
  • WellFirst by Medica Silver $0 Copay PCP Visits - EPO
  • WellFirst by Medica Silver Copay Plus - EPO
  • WellFirst by Medica Silver Standard - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite Saver Plus - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kevin Du is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kevin Du is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3678934155

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230731003645

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.58 for a new patient copayment and $17.37 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63110 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.32
  • Minimum New Patient Price $55.65
  • Maximum New Patient Price $169.38
  • Average New Patient Copayment $21.58
  • Minimum New Patient Copayment $13.91
  • Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.5
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $137.92
  • Average Established Patient Copayment $17.37
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Du is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
(314) 768-8000Acute Care Hospitals
SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL3635 VISTA AVE
SAINT LOUIS, MO 63110
(314) 577-8000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457008088
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241070016016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 0 + 0 + 1 + 6 + 0 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1457008088 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942291059DR. CYNTHIA M MONSEY MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1891776860MR. WILLIAM T ADAMS CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1467434902MR. JAMES MURRAY CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6963
1174502025MR. JAMES R HALLIBURTON CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1528021110MR. WILLIAM R VARDARO CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1851336630MR. MICHAEL L MITTERMEYER CRNA
Individual
Nurse Anesthetist, Certified Registered1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1477599512DR. DANIEL P KELLY MD
Individual
Internal Medicine (Cardiovascular Disease)1 BARNES JEWISH HOSPITAL PLZ EAST PAVILLION SUITE 16419
SAINT LOUIS, MO 63110
(314) 362-3790
1033141742DR. CHRISTOPHER W HAMLIN MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1730111394DR. SZILVIA SZARVAS MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1215960596DR. PETRA JAROSLAVA LIPSMEYER M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 286-2217
1285650598DR. GITRY HEYDEBRAND PHD
Individual
Psychologist1 BARNES JEWISH HOSPITAL PLZ STE 17301
SAINT LOUIS, MO 63110
(314) 362-3072
1992721203DR. ERIC JACOBSOHN MD
Individual
Anesthesiology (Critical Care Medicine)1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1417973728DR. MONICA A SCUTARIU MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1144246455DR. JAMUNA CHALASANI MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 747-3000
1598781809DR. IGOR OTAHAL MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1922024231DR. JIRI SOUPAL MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1295751519DR. VLADIMIR KREJCI MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1194741413DR. DUSICA STAMENKOVIC MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1942226261DR. CHINNIAMPALAYAM RAJAMOHAN MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973
1760408082 ARLEZIANA C FLORESCU MD
Individual
Anesthesiology1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
(314) 362-6973

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457008088, enumerated in the NPI registry as an "individual" on March 03, 2022

The provider is located at 1 Barnes Jewish Hospital Plz Dept Anesthesiology Saint Louis, Mo 63110 and the phone number is (800) 862-9980

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 3 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arkansas Health &. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.32 with an average copayment of $21.58 for new patient appointments. Established patients should expect a typical charge of $69.5 and an average copayment of 17.37. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS and SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 03, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.