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MR. EUGENIO G HERBOSA DMD MMSC
NPI 1063593838
Oral & Maxillofacial Surgery in St Louis, MO

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
12818 TESSON FERRY ROAD, SUITE 204, ST LOUIS, MO 63128(314) 842-0020(314) 842-1590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Eugenio G Herbosa Dmd Mmsc NPPES

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

MR. EUGENIO G HERBOSA DMD MMSC (NPI 1063593838) is an individual oral & maxillofacial surgery provider in St Louis, Missouri, licensed in Missouri (15229) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063593838
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMR. EUGENIO G HERBOSACredential: DMD MMSC
Location Address12818 TESSON FERRY ROAD, SUITE 204St Louis, MO 63128
Mailing Address1034 S Brentwood, Suite 1010St Louis, MO 63128 · (314) 721-1010 · Fax (314) 721-5276
Phone(314) 842-0020
Fax(314) 842-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063593838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MO · 15229
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
12818 TESSON FERRY ROAD, St Louis, MO 63128
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Other Identifiers 1

Medicare UPIN23435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eugenio G Herbosa Dmd Mmsc 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 ID8224227178
PECOS Enrollment IDI20110110000054
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.

Medicare Billing Reassignment

Medicare enrollment records show Eugenio Herbosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater St Louis Oral & Maxillofacial Surgery PC
9.6 mi
Oral and Maxillofacial Surgery
1034 S BRENTWOOD BLVD, SUITE 1010
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1518158989 (314) 721-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eugenio Herbosa's NPI number?

The NPI number for Eugenio Herbosa is 1063593838. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Eugenio Herbosa located?

Eugenio Herbosa practices at 12818 Tesson Ferry Road Suite 204, St Louis, MO 63128. The listed phone number is (314) 842-0020.

What is Eugenio Herbosa's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Eugenio Herbosa enrolled in Medicare?

Yes. Eugenio Herbosa 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.

Which organization bills Medicare for Eugenio Herbosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eugenio Herbosa reassigns Medicare benefits to Greater St Louis Oral & Maxillofacial Surgery PC (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eugenio Herbosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eugenio Herbosa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 12 other insurers list Eugenio Herbosa 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.

When was this NPI record last updated?

The NPPES record for Eugenio Herbosa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.