DR. PATRICIA TEREESE JIMENEZ MD NPI 1003019217

Obstetrics & Gynecology (Reproductive Endocrinology) in Saint Louis, MO

NPI 1003019217 Individual Female Years of Experience 18 Obstetrics & Gynecology Reproductive Endocrinology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. PATRICIA TEREESE JIMENEZ MD

Patricia Jimenez is a women's health care provider established in Saint Louis, Missouri and her medical specialization is obstetrics & gynecology (reproductive endocrinology) with more than 18 years of experience. The NPI number of Patricia Jimenez is 1003019217 and was assigned on June 2007. The practitioner's primary taxonomy code is 207VE0102X with license number 2017009639 (MO). The provider is registered as an individual and her NPI record was last updated one year ago.

Women's health care providers like Dr. Patricia Tereese Jimenez Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Patricia Jimenez 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.

Patricia Jimenez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.46 for a new patient copayment and $25.84 for an established patient copayment.

NPI

1003019217

Provider NameDR. PATRICIA TEREESE JIMENEZ MD
Provider Location Address4444 FOREST PARK AVE STE 3100 SAINT LOUIS, MO 63108
Provider Mailing Address660 S EUCLID AVE CB 8513 SAINT LOUIS, MO 63110
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-06-2007
Last Update Date11-15-2021


Primary Taxonomy

Taxonomy Code207VE0102X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationReproductive Endocrinology
License No.2017009639
License StateMO
Taxonomy DescriptionAn obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Business Address

DR. PATRICIA TEREESE JIMENEZ MD
4444 FOREST PARK AVE
STE 3100
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 286-2400
Fax: (314) 286-2455

Get Directions


Mailing Address

DR. PATRICIA TEREESE JIMENEZ MD
660 S EUCLID AVE
CB 8513
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 286-2400
Fax: (314) 286-2455



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3375709231
PECOS Enrollment IDI20170720000671
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 63108 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.16 $176.77 $133.86
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.54 $44.19 $33.46
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.08 $144.4 $103.38
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.52 $36.1 $25.84

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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200043790MEDICAID (05)MO

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003019217
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 8 + 2 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003019217 is valid because the calculated check digit 7 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
1861418006MS. LISA M WITHERS OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 286-1600
1689690828MS. JEANENNE M DALLAS OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 286-1600
1235156761MS. LINDA VAN DILLEN PT
Individual
Physical Therapist4444 FOREST PARK AVE SUITE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1982723136MS. MYRA MARIE MEEKINS PT
Individual
Physical Therapist4444 FOREST PARK AVE SUITE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1609064922MS. MARY W HILDEBRAND OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 362-5079
1831354042 MELISSA A LYLES OT
Individual
Occupational Therapist4444 FOREST PARK AVE CB 8505
SAINT LOUIS, MO 63108
(314) 362-5079
1083853733MR. JOHN PHILIP GAN CHAN PT
Individual
Physical Therapist4444 FOREST PARK AVE SUITE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1619116977 RYAN BAILEY
Individual
Occupational Therapist4444 FOREST PARK AVE CAMPUS BOX 8502
SAINT LOUIS, MO 63108
(314) 633-8450
1427076959MS. KATHERINE C HESS MS OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 286-1096
1497865513MS. LISA MARIE MARTIN OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 286-1096
1992722417DR. ROBERT H DEUSINGER PT PHD
Individual
Physical Therapist4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1558582270MS. JEANNE M KLOECKNER MS OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 362-5079
1124208004MR. TIMOTHY J WOLF OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 362-5079
1164857017MS. MICHELLE LISA GERSTENHABER OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 362-5079
1336382290 KIMBERLY ANN WALKER OT
Individual
Occupational Therapist4444 FOREST PARK AVE CAMPUS BOX 8505
SAINT LOUIS, MO 63108
(314) 286-1612
1801813324DR. SUSAN DEUSINGER PT PHD
Individual
Physical Therapist4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1023286663MS. CHERYL L KLOHR MS OT
Individual
Occupational Therapist4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
(314) 362-5079
1073935789MS. BECKY LEE RUSSELL OT
Individual
Occupational Therapist4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108
(314) 286-1669
1669498978MS. SHIRLEY A SAHRMANN PT
Individual
Physical Therapist4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108
(314) 286-1940
1992721211MS. JENNIFER S STITH PT
Individual
Physical Therapist4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108
(314) 286-1940

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Patricia Tereese Jimenez Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.