MARY C LIVERGOOD M.D. - NPI 1093196842 - Obstetrics & Gynecology in Saint Louis, MO

Q: What is Mary Livergood's NPI number?

The NPI number for Mary Livergood is 1093196842. It was assigned to this individual provider in the NPPES registry on June 17, 2015. The provider is also known as Mary Christine Graves.

Q: What is Mary Livergood's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Mary Livergood was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

On this page

About Mary C Livergood M.d. NPPES

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

MARY C LIVERGOOD M.D. (NPI 1093196842) is an individual maternal & fetal medicine provider in Saint Louis, Missouri, licensed in Missouri (2022010786) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1093196842

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameMARY C LIVERGOODCredential: M.D.

Location Address3009 N BALLAS RD STE 351CSaint Louis, MO 63131-2324

Mailing Address3009 N Ballas Rd Ste 351cSaint Louis, MO 63131-2324 · (314) 996-6800

Phone(314) 996-6800

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2015

Enumeration DateJune 17, 2015

Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1093196842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in MO · 2022010786

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2022010786 (MO), 70784 (WI)

3009 N BALLAS RD STE 351C, Saint Louis, MO 63131

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Christine Graves

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-6600 · Fax (414) 805-6622

Other Identifiers 1

Medicaid1093196842WI

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

Mary C Livergood M.d. 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 ID9537475421

PECOS Enrollment IDI20220902001291

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 63131 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.

Other Providers at the Same Location NPPES 5

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

KENAN SAHBAZ FNP

Nurse Practitioner (Family)