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: July 26, 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, is affiliated with Barnes Jewish Hospital, 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
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

Other Identifiers 1

Medicare UPIN23435

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

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.

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

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.

What insurance does Eugenio Herbosa accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 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.

Is Eugenio Herbosa affiliated with any hospitals?

According to CMS data, Eugenio Herbosa is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

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