LAURA A ESSWEIN MD
NPI 1174596860
Allergy & Immunology - Allergy in Saint Louis, MO

Active since February 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
10024 WATSON RD, SAINT LOUIS, MO 63126(314) 919-2555 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura A Esswein Md NPPES

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

LAURA A ESSWEIN MD (NPI 1174596860) is an individual allergy provider in Saint Louis, Missouri, licensed in Missouri (109792) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1174596860
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameLAURA A ESSWEINCredential: MD
Location Address10024 WATSON RDSaint Louis, MO 63126-1829
Mailing Address10024 Watson RdSaint Louis, MO 63126-1829 · (314) 919-2555 · Fax (314) 919-2577
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991
Enumeration DateFebruary 11, 2006
Last NPPES UpdateDecember 29, 2014
NPI 1174596860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in MO · 109792
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X · License 109792 (MO)
10024 WATSON RD, Saint Louis, MO 63126

Other Identifiers 4

Medicaid1174596860MO
OtherP01280989MO · Railroad Medicare
Medicare UPING39451MO
Medicare PIN967225280MO

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

Laura A Esswein 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 ID4385741206
PECOS Enrollment IDI20070529000402
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 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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
733 services13 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.
58 services39 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.
47 services40 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
17 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.15
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
6 suppliers56 claims196 services$18.05 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims48 services$35.42 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
1 supplier12 claims12 services$12.65 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
6 suppliers57 claims24,620 services$9.51 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims768 services$35.70 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
8 suppliers69 claims310 services$2.35 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 8

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

Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126
Nurse Practitioner (Family)
10024 WATSON RD
SAINT LOUIS, MO 63126
Nurse Practitioner
10024 WATSON RD
SAINT LOUIS, MO 63126
Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126
Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126
Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126
Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126
Internal Medicine
10024 WATSON RD
SAINT LOUIS, MO 63126

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 Laura Esswein's NPI number?

The NPI number for Laura Esswein is 1174596860. It was assigned to this individual provider in the NPPES registry on February 11, 2006.

Where is Laura Esswein located?

Laura Esswein practices at 10024 Watson Rd, Saint Louis, MO 63126. The listed phone number is (314) 919-2555.

What is Laura Esswein's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Laura Esswein enrolled in Medicare?

Yes. Laura Esswein 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 Laura Esswein 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 6 other insurers list Laura Esswein 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 Laura Esswein affiliated with any hospitals?

According to CMS data, Laura Esswein is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Laura Esswein was last updated on December 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.