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DR. KRISTEN WYMORE WATERBURY MD
NPI 1053841767
Obstetrics & Gynecology in Saint Louis, MO

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128(314) 406-2879 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2021, Sep 15, 2021, Mar 10, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Kristen Wymore Waterbury Md NPPES

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

DR. KRISTEN WYMORE WATERBURY MD (NPI 1053841767) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2021023210) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (2017).

NPPES Registry Identity

NPI1053841767
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KRISTEN WYMORE WATERBURYCredential: MD
Location Address10004 KENNERLY RD STE 230ASaint Louis, MO 63128-2181
Mailing Address10004 Kennerly Rd Ste 230aSaint Louis, MO 63128-2181
Phone(314) 406-2879
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1053841767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2021023210
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10004 KENNERLY RD STE 230A, Saint Louis, MO 63128
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Other Names 1

Former Name (1)Kristen Wymore Md

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

Dr. Kristen Wymore Waterbury Md 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 ID5496023210
PECOS Enrollment IDI20210922000863
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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

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

CORINNE ELIZABETH BACKER MD
Obstetrics & Gynecology
10004 KENNERLY RD STE 230A
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4100

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 Kristen Waterbury's NPI number?

The NPI number for Kristen Waterbury is 1053841767. It was assigned to this individual provider in the NPPES registry on June 14, 2017. The provider is also known as Kristen Wymore MD.

Where is Kristen Waterbury located?

Kristen Waterbury practices at 10004 Kennerly Rd Ste 230A, Saint Louis, MO 63128. The listed phone number is (314) 406-2879.

What is Kristen Waterbury's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristen Waterbury enrolled in Medicare?

Yes. Kristen Waterbury 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.

Is Kristen Waterbury affiliated with any hospitals?

According to CMS data, Kristen Waterbury is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Kristen Waterbury was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.