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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Tong Zhu was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: October 18, 2026.

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

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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

Phone(314) 985-3002

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Tong Zhu reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gateway Pain Center Inc

Same address

Pain Medicine

10435 CLAYTON RD, SUITE 120
Frontenac, MO 63131

Reassigned Medicare billing, Illinois and Missouri enrollments
2 clinicians in this Medicare group

NPI 1568475689 (314) 985-3002

Apg Network LLC

26 mi

Internal Medicine

1181 S STATE ROUTE 157
Edwardsville, IL 62025

Reassigned Medicare billing, Illinois enrollment
19 clinicians in this Medicare group

NPI 1538860200 (888) 363-8333

Mercy Clinic Pain Management, LLC

33 mi

Pain Medicine

851 E 5TH ST STE 208
Washington, MO 63090

Reassigned Medicare billing, Missouri enrollment
25 clinicians in this Medicare group

NPI 1942636980 (636) 390-8097

Sparta Community Hospital

53 mi

Critical Access

818 E BROADWAY ST
Sparta, IL 62286

Reassigned Medicare billing, Illinois enrollment
23 clinicians in this Medicare group

NPI 1548216476 (618) 443-2177

Sparta Community Hospital D/B/A Quality Healthcare Clinics

53 mi

Multi-Specialty

818 E. BROADWAY STREET
Sparta, IL 62286

Reassigned Medicare billing, Illinois enrollment
51 clinicians in this Medicare group

NPI 1114984226 (618) 443-1337

Xiaohui's Medical, LLC

58 mi

Pain Medicine

618 MAPLE VALLEY DR
Farmington, MO 63640

Reassigned Medicare billing, Missouri enrollment
4 clinicians in this Medicare group

NPI 1518297977 (573) 756-3400

Memorial Hospital

59 mi

Critical Access

1900 STATE ST
Chester, IL 62233

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1851390132 (618) 826-4581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Injection of substance into lower spine canal using imaging guidance 62323

37 services30 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

36 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

28 services25 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.

26 services26 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.

26 services24 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

24 services18 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

23 services15 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

19 services13 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

18 services16 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

16 services11 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

15 services12 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

15 services12 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

Quality

81.34

Improvement Activities

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.

PROFESSIONAL ATHLETIC ORTHOPEDICS

Specialist