TANNER WALLEN DO
NPI 1043731870
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Active since July 01, 2017PECOS EnrolledAccepts Medicare Assignment
12255 DEPAUL DRIVE, SUITE 500, SAINT LOUIS, MO 63044(314) 209-5180 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2022, Jul 21, 2022, Nov 24, 2020 and 1 more (4 updates tracked since 2017).

About Tanner Wallen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER WALLEN DO (NPI 1043731870) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (2020024367) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2017).

NPPES Registry Identity

NPI1043731870
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTANNER WALLENCredential: DO
Location Address12255 DEPAUL DRIVE, SUITE 500Saint Louis, MO 63044
Mailing Address12255 Depaul Drive, Suite 500Saint Louis, MO 63040 · (314) 209-5180
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2017
Enumeration DateJuly 1, 2017
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1043731870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MO · 2020024367
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2020024367 (MO)
12255 DEPAUL DRIVE, Saint Louis, MO 63044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanner Wallen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537590831
PECOS Enrollment IDI20230511002632
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services24 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
30 services30 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
29 services29 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
12255 DEPAUL DRIVE, SUITE 370
BRIDGETON, MO 63044
Internal Medicine (Cardiovascular Disease)
12255 DEPAUL DRIVE, SUITE 260
BRIDGETON, MO 63044
Podiatrist (Foot & Ankle Surgery)
12255 DEPAUL DRIVE, STE 705
BRIDGETON, MO 63044
Physician Assistant (Medical)
12255 DEPAUL DRIVE, SUITE 420
BRIDGETON, MO 63044
Dermatology
12255 DEPAUL DRIVE, 770 NORTH BUILDING
BRIDGETON, MO 63044
Durable Medical Equipment & Medical Supplies
12255 DEPAUL DRIVE, SUITE 120
BRIDGETON, MO 63044
Nurse Practitioner (Obstetrics & Gynecology)
12255 DEPAUL DRIVE, SUITE 360
BRIDGETON, MO 63044
Optometrist
12255 DEPAUL DRIVE, SUITE 360
BRIDGETON, MO 63044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Wallen's NPI number?

The NPI number for Tanner Wallen is 1043731870. It was assigned to this individual provider in the NPPES registry on July 1, 2017.

Where is Tanner Wallen located?

Tanner Wallen practices at 12255 Depaul Drive Suite 500, Saint Louis, MO 63044. The listed phone number is (314) 209-5180.

What is Tanner Wallen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tanner Wallen enrolled in Medicare?

Yes. Tanner Wallen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanner Wallen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Tanner Wallen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tanner Wallen affiliated with any hospitals?

According to CMS data, Tanner Wallen is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Tanner Wallen was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.