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ERIC MICHAEL GUENTHER D.O.
NPI 1164716742
Hospitalist in Saint Louis, MO

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-7080(314) 996-7691 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Jun 3, 2025, Nov 11, 2015 (3 updates tracked since 2015).

About Eric Michael Guenther D.o. NPPES

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

ERIC MICHAEL GUENTHER D.O. (NPI 1164716742) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2014010518) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164716742
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameERIC MICHAEL GUENTHERCredential: D.O.
Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-5772 · Fax (314) 996-7691
Phone(314) 996-7080
Fax(314) 996-7691
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1164716742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MO · 2014010518✔ Licensed in IL · 036.135440
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3015 N BALLAS RD, Saint Louis, MO 63131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Company.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

Eric Michael Guenther D.o. 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 ID5294954384
PECOS Enrollment IDI20140923001240
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
609 services200 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
174 services154 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City 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

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

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
$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.

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.

MS. ASHLEY FRANCES MARIE PIKE FNP
Nurse Practitioner (Family)
3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
PAUL S PATANE M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330
MR. BLAIR ANTHONY MALENCH PA
Physician Assistant
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5225
ADNAN MANZOOR MD
Hospitalist
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5772
LAUREN MARIE HECHT RD, LD
Dietitian, Registered
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (573) 579-6375
DR. ALAN P LYSS MD
Internal Medicine (Hematology & Oncology)
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5514
VIRGILIO P DUMADAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4285
STEPHEN R DAVIS M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330

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 Eric Guenther's NPI number?

The NPI number for Eric Guenther is 1164716742. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Eric Guenther located?

Eric Guenther practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-7080.

What is Eric Guenther's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Eric Guenther enrolled in Medicare?

Yes. Eric Guenther 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 Eric Guenther accept?

Health plans from Molina Healthcare and Oscar Insurance Company list Eric Guenther 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 Eric Guenther affiliated with any hospitals?

According to CMS data, Eric Guenther is affiliated with Alton Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center and Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Eric Guenther was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.