Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIMOTHY P. BROTHERTON JR. MD
NPI 1053930586
Hospitalist in Chesterfield, MO

Q: What is Timothy Brotherton's NPI number?

The NPI number for Timothy Brotherton is 1053930586. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Timothy Brotherton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment

17298 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63005(314) 529-4900(314) 434-2679 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Apr 14, 2020 (2 updates tracked since 2020).

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About Timothy P. Brotherton Jr. Md NPPES

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

TIMOTHY P. BROTHERTON JR. MD (NPI 1053930586) is an individual hospitalist provider in Chesterfield, Missouri, licensed in Missouri (2023010843) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053930586

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameTIMOTHY P. BROTHERTON JR.Credential: MD

Location Address17298 N OUTER 40 RD STE 200Chesterfield, MO 63005-1456

Mailing Address17298 N Outer 40 Rd Ste 200Chesterfield, MO 63005-1456 · (314) 977-6100

Phone(314) 529-4900

Fax(314) 434-2679

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 14, 2020

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1053930586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MO · 2023010843

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

17298 N OUTER 40 RD STE 200, Chesterfield, MO 63005

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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

Timothy P. Brotherton Jr. 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 ID5597181792

PECOS Enrollment IDI20240207004136

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 2

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.

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.

26 services26 patients

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.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63005 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.

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Other Providers at the Same Location NPPES 11

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

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Nurse Anesthetist, Certified Registered