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DR. STEVEN RICHARD WHEALON M.D.
NPI 1295099653
Family Medicine in Chesterfield, MO

Active since June 30, 2012PECOS Enrolled
95.01/100
CMS Quality Rating
16216 BAXTER RD, CHESTERFIELD, MO 63017(573) 339-3591 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, May 12, 2019 (2 updates tracked since 2019).

About Dr. Steven Richard Whealon M.d. NPPES

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

DR. STEVEN RICHARD WHEALON M.D. (NPI 1295099653) is an individual family medicine provider in Chesterfield, Missouri, licensed in Missouri (2018030704) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295099653
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEVEN RICHARD WHEALONCredential: M.D.
Location Address16216 BAXTER RDChesterfield, MO 63017-4770
Mailing Address5669 Dalton LnSmithton, IL 62285-2946 · (253) 293-0044
Phone(573) 339-3591
Sole ProprietorYes
Enumeration DateJune 30, 2012
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1295099653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2018030704
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16216 BAXTER RD, Chesterfield, MO 63017
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Other Identifiers 1

Medicaid036136850IL

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. Steven Richard Whealon 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 Steven Whealon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcpherson Medical & Diagnostic LLC
Same address
Clinic/Center
16216 BAXTER RD STE 100
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 116 clinicians in this Medicare group
NPI 1194408054 (636) 449-4700
Total Access Urgent Care, PC
11 mi
Urgent Care
9556 MANCHESTER RD
Saint Louis, MO 63119
  • Reassigned Medicare billing, Missouri enrollment
  • 111 clinicians in this Medicare group
NPI 1962684886 (314) 961-2255
Tauc Il, PC
32 mi
Urgent Care
400 BELTLINE RD
Collinsville, IL 62234
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1487401709 (618) 215-5703

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 63017 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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%23 patients2/55-star benchmark: 85%
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.
100%102 patients5/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%51 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
21%62 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%51 patients4/55-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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%51 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
6%51 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.05 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 20

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

DR. LAURA M HUFF PH.D.
Psychologist (Clinical)
16216 BAXTER RD, SUITE 399
CHESTERFIELD, MO 63017
St. Louis County (636) 532-9188
MARSHA WEISEL
Occupational Therapist
16216 BAXTER RD, SUITE 330
CHESTERFIELD, MO 63017
St. Louis County (636) 733-3330
MONICA UTHLAUT LCSW
Social Worker (Clinical)
16216 BAXTER RD, STE. 205
CHESTERFIELD, MO 63017
St. Louis County (636) 532-9188
CAROLYNN F WOLFF DMD PC
Dentist
16216 BAXTER RD, STE 215
CHESTERFIELD, MO 63017
St. Louis County (636) 537-3600
JENNIFER A KAMER LPC
Counselor (Professional)
16216 BAXTER RD, SUITE 399
CHESTERFIELD, MO 63017
St. Louis County (636) 532-9188
CHESTERFIELD SPINE & SPORTS MEDICINE CENTER LLC
Physical Medicine & Rehabilitation
16216 BAXTER RD, SUITE 190
CHESTERFIELD, MO 63017
St. Louis County (270) 252-5840
DR. JOSEPH L. HOLLINGSWORTH D.C.
Chiropractor
16216 BAXTER RD, STE 190
CHESTERFIELD, MO 63017
St. Louis County (636) 778-1515
ANNA MANDA
Speech-Language Pathologist
16216 BAXTER RD, SUITE 330
CHESTERFIELD, MO 63017
St. Louis County (636) 733-3330

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 Steven Whealon's NPI number?

The NPI number for Steven Whealon is 1295099653. It was assigned to this individual provider in the NPPES registry on June 30, 2012.

Where is Steven Whealon located?

Steven Whealon practices at 16216 Baxter Rd, Chesterfield, MO 63017. The listed phone number is (573) 339-3591.

What is Steven Whealon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Steven Whealon enrolled in Medicare?

Yes. Steven Whealon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Steven Whealon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Whealon reassigns Medicare benefits to 3 organizations: Mcpherson Medical & Diagnostic LLC (Chesterfield, MO), Total Access Urgent Care, PC (Saint Louis, MO) and Tauc Il, PC (Collinsville, IL). 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 Steven Whealon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Whealon 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 3 other insurers list Steven Whealon 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 Steven Whealon was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.