KEITH WICKENHAUSER MD
NPI 1184042855
Internal Medicine in Saint Charles, MO

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303(636) 669-2350 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2024, Jul 22, 2019, Jul 11, 2019 and 2 more (5 updates tracked since 2016).

About Keith Wickenhauser Md NPPES

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

KEITH WICKENHAUSER MD (NPI 1184042855) is an individual internal medicine provider in Saint Charles, Missouri, licensed in Missouri (2018011071) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1184042855
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH WICKENHAUSERCredential: MD
Location Address711 VETERANS MEMORIAL PKWY STE 300Saint Charles, MO 63303-2106
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateSeptember 3, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1184042855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MO · 2018011071 Licensed in KY · R3656
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.

Also ListedPediatricsTaxonomy 208000000X · License 2018011071 (MO)
711 VETERANS MEMORIAL PKWY STE 300, Saint Charles, MO 63303

Secondary Practice Location 1

Location 1550 S Jackson St, Suite A3K00Louisville, KY 40202 · Phone (502) 852-4277 · Fax (502) 852-8980

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

Keith Wickenhauser 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 ID1355657065
PECOS Enrollment IDI20180718000317
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 23

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,560 services26 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.
866 services421 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.
363 services363 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.
357 services271 patients
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.
226 services67 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services36 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63303 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.

Referred Medical Equipment & Supplies CMS DME claims 12

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
24 suppliers78 claims190 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers46 claims55 services$1.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers21 claims21 services$44.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$13.78 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers16 claims16 services$9.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers21 claims107 services$1.71 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 19

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

Family Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Internal Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Internal Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Internal Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Nurse Practitioner (Family)
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Internal Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Nurse Practitioner (Family)
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303
Internal Medicine
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES, MO 63303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184042855, enumerated as an "individual" on March 31, 2014.

The provider is located at 711 VETERANS MEMORIAL PKWY STE 300 SAINT CHARLES, MO 63303 and the phone number is (636) 669-2350.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Keith Wickenhauser is affiliated with: SSM ST JOSEPH HEALTH CENTER, MERCY HOSPITAL ST LOUIS, SSM HEALTH DEPAUL HOSPITAL ST LOUIS, BARNES-JEWISH ST PETERS HOSPITAL and SSM ST JOSEPH HOSPITAL WEST.