TONG ZHU MD
NPI 1184853152
Physical Medicine & Rehabilitation - Pain Medicine in Saint Louis, MO

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
92.68/100
CMS Quality Rating
10435 CLAYTON RD STE 120, SAINT LOUIS, MO 63131(314) 985-3002 Get Directions Write a Review

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

Record update history: May 29, 2026, Apr 5, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Tong Zhu Md NPPES

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

TONG ZHU MD (NPI 1184853152) is an individual pain medicine provider in Saint Louis, Missouri, licensed in Missouri (2015028059) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184853152
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameTONG ZHUCredential: MD
Location Address10435 CLAYTON RD STE 120Saint Louis, MO 63131-2930
Mailing Address10435 Clayton Rd Ste 120Saint Louis, MO 63131-9744 · (314) 985-3002 · Fax (314) 985-3012
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 10, 2009
Last NPPES UpdateMay 29, 20265 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1184853152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses Licensed in MO · 2015028059 Licensed in IL · 036.133727
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

10435 CLAYTON RD STE 120, Saint Louis, MO 63131

Secondary Practice Locations 2

Location 1818 E Broadway StSparta, IL 62286-1820 · Phone (618) 443-1337 · Fax (618) 443-1383
Location 21300 N Market StSparta, IL 62286-1048 · Phone (618) 443-1337 · Fax (618) 443-1383

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

Tong Zhu 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 ID8022243740
PECOS Enrollment IDI20131104001470, I20151027001616
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 18

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.

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.
280 services159 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.
140 services100 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
73 services12 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
56 services56 patients
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes G0396
This service involves a structured evaluation of your alcohol or substance use habits. It identifies potential issues and provides brief counseling to help modify harmful behaviors. It's a short, 15-30 minute process, focused on promoting healthier choices.
55 services55 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
37 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · 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.

92.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.34
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
48%109 patients3/55-star benchmark: 92%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
1%385 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%215 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%827 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patients 1: 80% · 769 patients
87%787 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%59 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%105 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%1,138 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
Patients 1: 10% · 773 patients
97%1,116 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%388 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 151 patients
Patients tobacco: 95% · 151 patients
93%42 patients4/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
Patients 1: 100% · 773 patients
70%1,116 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
Patients 1: 6% · 773 patients
4%1,116 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
0%1,138 patients
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.

Other Providers at the Same Location NPPES 9

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

Specialist
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Chiropractor (Rehabilitation)
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Physical Medicine & Rehabilitation (Pain Medicine)
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Orthopaedic Surgery
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Physician Assistant
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Family Medicine
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131
Chiropractor (Rehabilitation)
10435 CLAYTON RD STE 120
SAINT LOUIS, MO 63131

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 Tong Zhu's NPI number?

The NPI number for Tong Zhu is 1184853152. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Tong Zhu located?

Tong Zhu practices at 10435 Clayton Rd Ste 120, Saint Louis, MO 63131. The listed phone number is (314) 985-3002.

What is Tong Zhu's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Tong Zhu enrolled in Medicare?

Yes. Tong Zhu 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 Tong Zhu accept?

Health plans from UnitedHealthcare list Tong Zhu 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 Tong Zhu affiliated with any hospitals?

According to CMS data, Tong Zhu is affiliated with Memorial Hospital, Sparta Community Hospital, Mercy Hospital Jefferson and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Tong Zhu was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.