EAR NOSE & THROAT & PLASTIC SURG INC
NPI 1104911288
Otolaryngology - Facial Plastic Surgery in Saint Louis, MO

Active since October 04, 2006
2325 DOUGHERTY FERRY RD STE 106, SAINT LOUIS, MO 63122(314) 821-5002(314) 821-5029 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Jul 21, 2022 (2 updates tracked since 2022).

About Ear Nose & Throat & Plastic Surg Inc NPPES

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

EAR NOSE & THROAT & PLASTIC SURG INC (NPI 1104911288) is a healthcare organization registered as a facial plastic surgery in Saint Louis, Missouri and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Richard L Barnes, President, as its authorized official.

NPPES Registry Identity

NPI1104911288
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameEAR NOSE & THROAT & PLASTIC SURG INC
Location Address2325 DOUGHERTY FERRY RD STE 106Saint Louis, MO 63122-3356
Mailing Address2325 Dougherty Ferry Rd Ste 106Saint Louis, MO 63122-3356 · (314) 821-5002 · Fax (314) 821-5029
Fax(314) 821-5029
Organization SubpartNo
Authorized OfficialRichard L BarnesPresident · (314) 821-5002
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1104911288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
2325 DOUGHERTY FERRY RD STE 106, Saint Louis, MO 63122

Secondary Practice Locations 2

Location 112277 DePaul Dr Ste 303Bridgeton, MO 63044-2529 · Phone (314) 821-5002 · Fax (314) 821-8029
Location 24800 Mexico Rd Ste 103Saint Peters, MO 63376-1666 · Phone (314) 821-5002 · Fax (314) 821-5029

Other Identifiers 5

Other040010750MO · Medicare Railroad
OtherCP2222MO · Medicare Railroad
Other040017959MO · Medicare Railroad
Other040003579MO · Medicare Railroad
Medicaid502754401MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear Nose & Throat & Plastic Surg Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ear Nose & Throat & Plastic Surg Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1942957725
2325 DOUGHERTY FERRY RD STE 207
Saint Louis, MO 63122
(314) 821-5002
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1386645463
2325 DOUGHERTY FERRY RD STE 106
Saint Louis, MO 63122
(314) 821-5002
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1629450937
2325 DOUGHERTY FERRY RD STE 106
Saint Louis, MO 63122
(314) 821-5002
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ear Nose & Throat & Plastic Surg Inc's NPI number?

The NPI number for Ear Nose & Throat & Plastic Surg Inc is 1104911288. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Ear Nose & Throat & Plastic Surg Inc located?

Ear Nose & Throat & Plastic Surg Inc is located at 2325 Dougherty Ferry Rd Ste 106, Saint Louis, MO 63122. The listed phone number is (314) 821-5002.

What is Ear Nose & Throat & Plastic Surg Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Ear Nose & Throat & Plastic Surg Inc enrolled in Medicare?

Yes. Ear Nose & Throat & Plastic Surg Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear Nose & Throat & Plastic Surg Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ear Nose & Throat & Plastic Surg Inc, in Nurse Practitioner and Otolaryngology. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear Nose & Throat & Plastic Surg Inc 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 3 other insurers list Ear Nose & Throat & Plastic Surg Inc 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.

When was this NPI record last updated?

The NPPES record for Ear Nose & Throat & Plastic Surg Inc was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.