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DR. JAY F PICCIRILLO MD
NPI 1124059647
Otolaryngology in Creve Coeur, MO

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20, CREVE COEUR, MO 63141(314) 362-7509(314) 362-7522 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Jay F Piccirillo Md NPPES

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

DR. JAY F PICCIRILLO MD (NPI 1124059647) is an individual otolaryngology provider in Creve Coeur, Missouri, licensed in Missouri (100334) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1985).

NPPES Registry Identity

NPI1124059647
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAY F PICCIRILLOCredential: MD
Location Address1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20Creve Coeur, MO 63141-6431
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7509 · Fax (314) 362-7522
Phone(314) 362-7509
Fax(314) 362-7522
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1985
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1124059647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MO · 100334
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1044 N MASON RD, Creve Coeur, MO 63141
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Other Identifiers 1

Medicaid203455001MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

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

Dr. Jay F Piccirillo 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.

PECOS PAC ID42345837
PECOS Enrollment IDI20100318000503
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.

Areas of Expertise CMS Part B claims 4

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
93 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

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
$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

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers41 claims41 services$31.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers24 claims24 services$75.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers25 claims73 services$28.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers19 claims106 services$15.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers30 claims30 services$43.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers32 claims32 services$14.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. WILLIAM C CHAPMAN JR. MD
Colon & Rectal Surgery
1044 N MASON RD, DIV SURG COLON/RECTAL, STE 310
SAINT LOUIS, MO 63141
St. Louis County (314) 454-7177
MS. ELIZABETH BURTON WALDEN- PRATER AGNP
Nurse Practitioner
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8103
MS. ALEXANDRA ELIZABETH GRAHAM PA
Physician Assistant
1044 N MASON RD, DIV IM ENDOCRINOLOGY, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 362-3500
MS. ALICIA MARIE STORTS FNP
Nurse Practitioner (Family)
1044 N MASON RD, DEPT ORTHOPAEDIC SURGERY, STE 110/210
SAINT LOUIS, MO 63141
St. Louis County (314) 514-3500
DR. RICHARD IAN STEIN PHD
Psychologist (Clinical)
1044 N MASON RD, DIV IM GERIATRIC MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 286-2080
DR. HEIDI HOPE TASTET MD
Internal Medicine
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8103
MS. CARLY ROSE NOVELLY SLP
Speech-Language Pathologist
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20
CREVE COEUR, MO 63141
St. Louis County (314) 362-7509
MS. SHANNA MARIE ZWICK PA
Physician Assistant (Surgical)
1044 N MASON RD, DIV SURG COLON/RECTAL, STE 310
SAINT LOUIS, MO 63141
St. Louis County (314) 454-7177

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 Jay Piccirillo's NPI number?

The NPI number for Jay Piccirillo is 1124059647. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Jay Piccirillo located?

Jay Piccirillo practices at 1044 N Mason Rd Dept Otolaryngology, Ste L20, Creve Coeur, MO 63141. The listed phone number is (314) 362-7509.

What is Jay Piccirillo's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jay Piccirillo enrolled in Medicare?

Yes. Jay Piccirillo 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.

What insurance does Jay Piccirillo accept?

Health plans from Cox HealthPlans list Jay Piccirillo 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 Jay Piccirillo was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.