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DR. MARIE A BOSCH MD
NPI 1104209972
Psychiatry & Neurology - Psychiatry in Ballwin, MO

Active since June 29, 2015Opted out of Medicare · through Aug 23, 2026
79.29/100
CMS Quality Rating
13975 MANCHESTER RD STE 2, BALLWIN, MO 63011(314) 312-2234(888) 336-4072 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Jul 17, 2024, Apr 25, 2024 and 6 more (9 updates tracked since 2019).

About Dr. Marie A Bosch Md NPPES

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

DR. MARIE A BOSCH MD (NPI 1104209972) is an individual psychiatry provider in Ballwin, Missouri, licensed in Missouri (2018014204) and active in the NPI registry since June 2015. She has opted out of Medicare through August 23, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104209972
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARIE A BOSCHCredential: MD
Location Address13975 MANCHESTER RD STE 2Ballwin, MO 63011-4500
Mailing Address13975 Manchester Rd Ste 2Ballwin, MO 63011-4500 · (314) 312-2234 · Fax (888) 336-4072
Phone(314) 312-2234
Fax(888) 336-4072
Sole ProprietorYes
Enumeration DateJune 29, 2015
Last NPPES UpdateDecember 1, 20259 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1104209972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · 2018014204
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
13975 MANCHESTER RD STE 2, Ballwin, MO 63011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marie A Bosch Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 23, 2024 through August 23, 2026.

Opt-Out Effective DateAugust 23, 2024
Opt-Out In Effect ThroughAugust 23, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 7

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

HELPING FAMILIES LIVE IN HOME SERVICES, LLC
Home Health
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011
St. Louis County (314) 477-7955
AWAKEN GRACE LLC
Social Worker (Clinical)
13975 MANCHESTER RD STE 2, ROOM # 17
MANCHESTER, MO 63011
St. Louis County (314) 578-3551
STEPHEN LEONARD RUBIN
Massage Therapist
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011
St. Louis County (636) 336-8115
AFFECT PROVIDER GROUP, P.S.C.
Counselor (Mental Health)
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011
St. Louis County (845) 769-8758
JOHN GREGORY RAPP MSW, LCSW
Social Worker (Clinical)
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011
St. Louis County (573) 424-4808
ALLISON A GRACE MSW, LCSW
Social Worker (Clinical)
13975 MANCHESTER RD STE 2, ROOM # 17
MANCHESTER, MO 63011
St. Louis County (314) 578-3551
JOHN RAPP, LCSW, LLC
Social Worker (Clinical)
13975 MANCHESTER RD STE 2
BALLWIN, MO 63011
St. Louis County (573) 424-4808

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 Marie Bosch's NPI number?

The NPI number for Marie Bosch is 1104209972. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Marie Bosch located?

Marie Bosch practices at 13975 Manchester Rd Ste 2, Ballwin, MO 63011. The listed phone number is (314) 312-2234.

What is Marie Bosch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marie Bosch enrolled in Medicare?

No. Marie Bosch has opted out of Medicare through August 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marie Bosch was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.