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DR. TARA MARIE BUDETTI M.D.
NPI 1285811059
Pediatrics in Saint Louis, MO

Active since January 23, 2008PECOS Enrolled
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 531-5444(314) 531-0063 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tara Marie Budetti M.d. NPPES

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

DR. TARA MARIE BUDETTI M.D. (NPI 1285811059) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2008016533) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285811059
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TARA MARIE BUDETTICredential: M.D.
Location Address4352 MANCHESTER AVESaint Louis, MO 63110-2138
Mailing Address4352 Manchester AveSaint Louis, MO 63110-2138 · (314) 531-5444 · Fax (314) 531-0063
Phone(314) 531-5444
Fax(314) 531-0063
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1285811059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2008016533
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4352 MANCHESTER AVE, Saint Louis, MO 63110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

Dr. Tara Marie Budetti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Tara Budetti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
2.9 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
Family Care Health Centers
4.8 mi
Federally Qualified Health Center (FQHC)
401 HOLLY HILLS AVE
Saint Louis, MO 63111
  • Reassigned Medicare billing, Missouri enrollment
  • 55 clinicians in this Medicare group
NPI 1508867508 (314) 481-1615
Ssm Cardinal Glennon Childrens Hospital
12 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$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.

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 CARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 481-1616
COLEEN R. JONES WHNP-BC
Nurse Practitioner
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
DR. JAIME ZENGOTITA MD
Family Medicine
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
VICKI SWYERS LCSW
Social Worker (Clinical)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
RICHARD GERALD BOLANOS JR. M.D.
Obstetrics & Gynecology
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
DR. HARRY RICHARD SCHARF DENTIST
Dentist
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
VALERIE LATRICE JOHNSON WHNP-BC
Nurse Practitioner (Women's Health)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444
RADHIKA JAIN MD
Internal Medicine
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 531-5444

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 Tara Budetti's NPI number?

The NPI number for Tara Budetti is 1285811059. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Tara Budetti located?

Tara Budetti practices at 4352 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 531-5444.

What is Tara Budetti's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tara Budetti enrolled in Medicare?

Yes. Tara Budetti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tara Budetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Budetti reassigns Medicare benefits to 3 organizations: Ssm Health Care St. Louis (Saint Louis, MO), Family Care Health Centers (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Budetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Budetti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Tara Budetti 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.

When was this NPI record last updated?

The NPPES record for Tara Budetti was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.