DR. SAMUEL J RHEINHARDT M.D.
NPI 1174903488
Surgery in Saint Charles, MO

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
400 1ST CAPITOL DR STE 201, SAINT CHARLES, MO 63301(636) 669-2332 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samuel J Rheinhardt M.d. NPPES

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

DR. SAMUEL J RHEINHARDT M.D. (NPI 1174903488) is an individual surgery provider in Saint Charles, Missouri, licensed in Missouri (2021023199) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1174903488
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMUEL J RHEINHARDTCredential: M.D.
Location Address400 1ST CAPITOL DR STE 201Saint Charles, MO 63301-2882
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1174903488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MO · 2021023199 Licensed in IN · 11018234A
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 125.075514 (IL)
400 1ST CAPITOL DR STE 201, Saint Charles, MO 63301

Secondary Practice Location 1

Location 1701 N 1st St Ste D327Springfield, IL 62702-3757 · Phone (217) 545-8856 · Fax (217) 545-7762

Other Identifiers 1

Other11018234AIN · Medical Residency Permit

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

Dr. Samuel J Rheinhardt 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 ID8123313681
PECOS Enrollment IDI20210803001350
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 9

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services25 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
23 services11 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.
23 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
17 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63301 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
$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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301
Obstetrics & Gynecology
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301
Internal Medicine (Gastroenterology)
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301
Surgery (Trauma Surgery)
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301
Nurse Practitioner
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301
Internal Medicine (Gastroenterology)
400 1ST CAPITOL DR STE 201
SAINT CHARLES, MO 63301

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 Samuel Rheinhardt's NPI number?

The NPI number for Samuel Rheinhardt is 1174903488. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Samuel Rheinhardt located?

Samuel Rheinhardt practices at 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301. The listed phone number is (636) 669-2332.

What is Samuel Rheinhardt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Rheinhardt enrolled in Medicare?

Yes. Samuel Rheinhardt 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 Samuel Rheinhardt 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 4 other insurers list Samuel Rheinhardt 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 Samuel Rheinhardt affiliated with any hospitals?

According to CMS data, Samuel Rheinhardt is affiliated with Ssm Health St Mary's Hospital -Centralia, Ssm St Joseph Health Center, Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Rheinhardt was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.