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MICHAEL E CANNON MD
NPI 1154348761
Family Medicine in Chesterfield, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 26D2273376 · Waiver
16216 BAXTER RD STE 340, CHESTERFIELD, MO 63017(314) 325-8925 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2023, Sep 9, 2022 (2 updates tracked since 2022).

About Michael E Cannon Md NPPES

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

MICHAEL E CANNON MD (NPI 1154348761) is an individual family medicine provider in Chesterfield, Missouri, licensed in Missouri (R8H68) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 11, 2026, and is affiliated with Northwestern Medicine Central Dupage Hospital.

NPPES Registry Identity

NPI1154348761
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL E CANNONCredential: MD
Location Address16216 BAXTER RD STE 340Chesterfield, MO 63017-4778
Mailing AddressPo Box 221240Kirkwood, MO 63122-8240 · (314) 325-8925
Phone(314) 325-8925
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1987
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1154348761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R8H68
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16216 BAXTER RD STE 340, Chesterfield, MO 63017
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Other Names 1

Other Name (5)Miguel E Cannon Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Michael E Cannon 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 ID4587714076
PECOS Enrollment IDI20090603000491
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2273376

Michael Cannon, MD Personalized Medicine LLC · Chesterfield, MO
Active · expires Dec 11, 2026
CLIA Number26D2273376
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorMichael E. Cannon
Laboratory Phone(314) 325-8925
Laboratory LocationMichael Cannon, MD Personalized Medicine LLC16216 Baxter Road, Suite 340, Chesterfield, MO 63017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

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.
310 services163 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
175 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
148 services139 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
98 services98 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.
86 services64 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers62 claims137 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers31 claims33 services$0.92 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

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

MICHAEL CANNON, MD PERSONALIZED MEDICINE, LLC
Family Medicine (Sports Medicine)
16216 BAXTER RD STE 340
CHESTERFIELD, MO 63017
St. Louis County (314) 325-8925

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 Michael Cannon's NPI number?

The NPI number for Michael Cannon is 1154348761. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Miguel E Cannon MD.

Where is Michael Cannon located?

Michael Cannon practices at 16216 Baxter Rd Ste 340, Chesterfield, MO 63017. The listed phone number is (314) 325-8925.

What is Michael Cannon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Cannon enrolled in Medicare?

Yes. Michael Cannon 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.

Does Michael Cannon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2273376) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Cannon accept?

Health plans from UnitedHealthcare list Michael Cannon 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.

Is Michael Cannon affiliated with any hospitals?

According to CMS data, Michael Cannon is affiliated with Northwestern Medicine Central Dupage Hospital, Mercy Hospital St Louis, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cannon was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.