DR. ANN JEAN DEBARTOLO DO
NPI 1063907798
Surgery in Washington, MO

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
96.36/100
CMS Quality Rating
851 E 5TH ST STE 108, WASHINGTON, MO 63090(636) 861-7870 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ann Jean Debartolo Do NPPES

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

DR. ANN JEAN DEBARTOLO DO (NPI 1063907798) is an individual surgery provider in Washington, Missouri, licensed in Missouri (2023017130) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1063907798
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ANN JEAN DEBARTOLOCredential: DO
Location Address851 E 5TH ST STE 108Washington, MO 63090-3128
Mailing Address851 E 5th St Ste 108Washington, MO 63090-3128 · (636) 861-7870
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1063907798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2023017130
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
851 E 5TH ST STE 108, Washington, MO 63090

Secondary Practice Location 1

Location 1901 Patients First Dr Ste 3200Washington, MO 63090-4700 · Phone (636) 266-7930

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

Dr. Ann Jean Debartolo 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 ID2062768823
PECOS Enrollment IDI20230918000253
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
11 services11 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 Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Durable Medical Equipment & Medical Supplies
851 E 5TH ST STE 108
WASHINGTON, MO 63090
Nurse Practitioner (Family)
851 E 5TH ST STE 108
WASHINGTON, MO 63090
Physician Assistant
851 E 5TH ST STE 108
WASHINGTON, MO 63090
Nurse Practitioner (Family)
851 E 5TH ST STE 108
WASHINGTON, MO 63090
Nurse Practitioner (Family)
851 E 5TH ST STE 108
WASHINGTON, MO 63090
Surgery
851 E 5TH ST STE 108
WASHINGTON, MO 63090

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 Ann Debartolo's NPI number?

The NPI number for Ann Debartolo is 1063907798. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Ann Debartolo located?

Ann Debartolo practices at 851 E 5th St Ste 108, Washington, MO 63090. The listed phone number is (636) 861-7870.

What is Ann Debartolo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ann Debartolo enrolled in Medicare?

Yes. Ann Debartolo 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 Ann Debartolo 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 5 other insurers list Ann Debartolo 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 Ann Debartolo affiliated with any hospitals?

According to CMS data, Ann Debartolo is affiliated with Mercy Hospital St Louis and Mercy Hospital Washington.

When was this NPI record last updated?

The NPPES record for Ann Debartolo was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.