MR. JASTIN L ANTISDEL MD
NPI 1073714564
Otolaryngology in Saint Louis, MO
About Mr. Jastin L Antisdel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASTIN L ANTISDEL MD (NPI 1073714564) is an individual otolaryngology provider in Saint Louis, Missouri, licensed in Missouri (2005036993) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Jastin L Antisdel 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jastin Antisdel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Jastin Antisdel's NPI number?
The NPI number for Jastin Antisdel is 1073714564. It was assigned to this individual provider in the NPPES registry on May 30, 2007.
Where is Jastin Antisdel located?
Jastin Antisdel practices at 1225 S Grand Blvd Garden Level, Saint Louis, MO 63104. The listed phone number is (314) 977-5110.
What is Jastin Antisdel's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Jastin Antisdel enrolled in Medicare?
Yes. Jastin Antisdel 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 organizations bill Medicare for Jastin Antisdel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jastin Antisdel reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Mercy Hospitals East Communities (Saint Louis, MO). Each 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 Jastin Antisdel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jastin Antisdel 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 4 other insurers list Jastin Antisdel 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 Jastin Antisdel affiliated with any hospitals?
According to CMS data, Jastin Antisdel is affiliated with Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Jastin Antisdel was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Jastin L Antisdel, MD · NPI 1073714564
Otolaryngology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1073714564 (Entity type: Individual)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 2005036993 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 S GRAND BLVD, GARDEN LEVEL, Saint Louis, MO 63104-1016
- **Phone:** (314) 977-5110 · **Fax:** (314) 977-7686
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Mercy Hospitals East Communities (NPI 1851431738, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** January 13, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1073714564) · Data from the CMS NPPES public registry.