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

JESSICA MORMOL MD
NPI 1073096368
Obstetrics & Gynecology in O Fallon, MO

Q: What is Jessica Mormol's NPI number?

The NPI number for Jessica Mormol is 1073096368. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Jessica Mormol's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Mormol was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2018PECOS Enrolled

20 PROGRESS POINT PKWY STE 206, O FALLON, MO 63368(636) 344-3060(663) 634-4205 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jessica Mormol Md NPPES

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

JESSICA MORMOL MD (NPI 1073096368) is an individual obstetrics & gynecology provider in O Fallon, Missouri, licensed in Missouri (2026014297) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1073096368

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJESSICA MORMOLCredential: MD

Location Address20 PROGRESS POINT PKWY STE 206O Fallon, MO 63368-2207

Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 344-3060 · Fax (636) 344-2052

Phone(636) 344-3060

Fax(663) 634-4205

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1073096368 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 · 2026014297

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.

20 PROGRESS POINT PKWY STE 206, O Fallon, MO 63368

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Secondary Practice Location 1

Location 1240 E Huron St Ste 1-200Chicago, IL 60611-2909 · Phone (312) 503-7975

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mormol Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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.

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