MICHAEL FEDAK M.D.
NPI 1174514384
Internal Medicine in Saint Louis, MO

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
13303 TESSON FERRY RD, SUITE 150, SAINT LOUIS, MO 63128(314) 842-4744(314) 842-3835 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Fedak M.d. NPPES

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

MICHAEL FEDAK M.D. (NPI 1174514384) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (36371) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (1982).

NPPES Registry Identity

NPI1174514384
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL FEDAKCredential: M.D.
Location Address13303 TESSON FERRY RD, SUITE 150Saint Louis, MO 63128-4062
Mailing AddressPo Box 419052Saint Louis, MO 63141-9052 · (314) 851-1000
Fax(314) 842-3835
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1982
Enumeration DateNovember 4, 2005
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1174514384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 36371
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13303 TESSON FERRY RD, Saint Louis, MO 63128

Other Identifiers 6

Other100609MO · Healthlink
Other25552MO · Bcbs
Other127478MO · Ghp
Other0400399MO · Uhc
Other000000010015MO · Essence
OtherA29062MO · Mercy

Accepted 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 Fedak M.d. 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 ID4486743697
PECOS Enrollment IDI20080129000770
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 19

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
302 services170 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
255 services160 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
224 services149 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
206 services133 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.
155 services132 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.
107 services107 patients

Hospital Affiliations CMS Care Compare 2

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

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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.

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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%101 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers14 claims44 services$5.58 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims63 services$1.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers34 claims36 services$190.25 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 18

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

Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Physical Therapist
13303 TESSON FERRY RD, SUITE 10
SAINT LOUIS, MO 63128
Nurse Practitioner (Pediatrics)
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Pediatrics
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Occupational Therapist
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Physical Therapy Assistant
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Internal Medicine
13303 TESSON FERRY RD, SUITE 50
SAINT LOUIS, MO 63128

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 Fedak's NPI number?

The NPI number for Michael Fedak is 1174514384. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Michael Fedak located?

Michael Fedak practices at 13303 Tesson Ferry Rd Suite 150, Saint Louis, MO 63128. The listed phone number is (314) 842-4744.

What is Michael Fedak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Fedak enrolled in Medicare?

Yes. Michael Fedak 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 Michael Fedak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Michael Fedak 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 Fedak affiliated with any hospitals?

According to CMS data, Michael Fedak is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Michael Fedak was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.