RYAN T PITMAN M.D.
NPI 1093155632
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since June 27, 2013PECOS Enrolled
615 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO 63141(314) 251-5550(314) 251-5552 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2025, Dec 28, 2020, Aug 19, 2020 and 1 more (4 updates tracked since 2019).

About Ryan T Pitman M.d. NPPES

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

RYAN T PITMAN M.D. (NPI 1093155632) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2025029054) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093155632
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameRYAN T PITMANCredential: M.D.
Location Address615 S NEW BALLAS RD STE Y-G230Saint Louis, MO 63141-8221
Mailing Address615 S New Ballas Rd Ste Y-g230Saint Louis, MO 63141-8221 · (314) 251-5550 · Fax (314) 251-5552
Fax(314) 251-5552
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 27, 2013
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1093155632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in MO · 2025029054 Licensed in IN · 01082129A
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

615 S NEW BALLAS RD STE Y-G230, Saint Louis, MO 63141

Other Identifiers 1

Medicaid300025263IN

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 (PECOS)

Ryan T Pitman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204253107
PECOS Enrollment IDI20250910000424
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 63141 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
615 S NEW BALLAS RD STE Y-G230
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093155632, enumerated as an "individual" on June 27, 2013.

The provider is located at 615 S NEW BALLAS RD STE Y-G230 SAINT LOUIS, MO 63141 and the phone number is (314) 251-5550.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.