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SAMUEL JAMES MOLL PA
NPI 1295554731
Physician Assistant in Saint Louis, MO

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
2325 DOUGHERTY FERRY RD STE 100, SAINT LOUIS, MO 63122(618) 401-9856 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel James Moll Pa NPPES

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

SAMUEL JAMES MOLL PA (NPI 1295554731) is an individual physician assistant in Saint Louis, Missouri and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with St Luke's Des Peres Hospital, and is a graduate of Saint Louis University School Of Medicine (2024).

NPPES Registry Identity

NPI1295554731
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL JAMES MOLLCredential: PA
Location Address2325 DOUGHERTY FERRY RD STE 100Saint Louis, MO 63122-3356
Mailing Address9663 Canvasback DrMascoutah, IL 62258-2763 · (618) 401-9856
Phone(618) 401-9856
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2024
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1295554731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2325 DOUGHERTY FERRY RD STE 100, Saint Louis, MO 63122
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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 Home State Health, Ambetter from Sunflower Health Plan and more.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

Samuel James Moll Pa 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 ID1759801095
PECOS Enrollment IDI20250218000426
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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Des Peres Hospital

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260176
Location2345 Dougherty Ferry RoadSaint Louis, MO 63122 · St. Louis 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 4

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

PAXTECUM HEALTH LLC
Orthopaedic Surgery
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359
BLAINE T MANNING MD
Orthopaedic Surgery
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359
KEVIN DOUGLAS RUTZ MD
Orthopaedic Surgery
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359
CASEY LEIGH DAVIS PA-C
Physician Assistant (Surgical)
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359

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 Samuel Moll's NPI number?

The NPI number for Samuel Moll is 1295554731. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Samuel Moll located?

Samuel Moll practices at 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122. The listed phone number is (618) 401-9856.

What is Samuel Moll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Moll enrolled in Medicare?

Yes. Samuel Moll 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 Samuel Moll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Samuel Moll 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 Samuel Moll affiliated with any hospitals?

According to CMS data, Samuel Moll is affiliated with St Luke's Des Peres Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Moll was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.