ANDREW J WAHLE PA
NPI 1306828819
Physician Assistant in Bridgeton, MO

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
12303 DEPAUL DR, DEPAUL HEALTH CENTER, BRIDGETON, MO 63044(314) 344-6000(630) 734-1560 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew J Wahle Pa NPPES

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

ANDREW J WAHLE PA (NPI 1306828819) is an individual physician assistant in Bridgeton, Missouri, licensed in Missouri (117541) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1306828819
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW J WAHLECredential: PA
Location Address12303 DEPAUL DR, DEPAUL HEALTH CENTERBridgeton, MO 63044
Mailing AddressPo Box 4853, Dept 4036 Midwest Emergency Associates Depaul LlcOak Brook, IL 60522-4853 · (630) 734-0200 · Fax (630) 734-1560
Fax(630) 734-1560
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 18, 2005
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1306828819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 117541
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.

12303 DEPAUL DR, Bridgeton, MO 63044

Secondary Practice Location 1

Location 19556 Manchester RdSaint Louis, MO 63119-1313 · Phone (314) 961-2255 · Fax (314) 373-5757

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

Andrew J Wahle 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 ID840270260
PECOS Enrollment IDI20040724000261
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 41

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,000 services19 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
285 services66 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
175 services169 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
153 services149 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
78 services76 patients
New patient office or other outpatient visit, 45-59 minutes 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.
78 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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.

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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

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.

Anesthesiology
12303 DEPAUL DR
BRIDGETON, MO 63044
Emergency Medicine
12303 DEPAUL DR, DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Emergency Medicine
12303 DEPAUL DR
BRIDGETON, MO 63044
Radiology (Diagnostic Radiology)
12303 DEPAUL DR, DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Radiology (Diagnostic Radiology)
12303 DEPAUL DR, DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Radiology (Diagnostic Radiology)
12303 DEPAUL DR, DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Radiology (Diagnostic Radiology)
12303 DEPAUL DR, DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Nurse Anesthetist, Certified Registered
12303 DEPAUL DR
BRIDGETON, MO 63044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306828819, enumerated as an "individual" on November 18, 2005.

The provider is located at 12303 DEPAUL DR DEPAUL HEALTH CENTER BRIDGETON, MO 63044 and the phone number is (314) 344-6000.

Physician Assistant with taxonomy code 363A00000X.