RICHARD XAVIER BRENNAN M.D.
NPI 1316986540
Obstetrics & Gynecology in Saint Louis, MO

NPI Status: Active since June 05, 2006

Contact Information

12700 SOUTHFORK RD
STE 230
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 849-3711
Fax: (314) 849-0235

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  • Individual
  • Male
  • Years of Experience 40
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RICHARD BRENNAN

This page provides the complete NPI Profile along with additional information for Richard Brennan, a women's health care provider established in Saint Louis, Missouri with a medical specialization in Obstetrics & Gynecology and more than 40 years of experience. He graduated from Saint Louis University School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1316986540 assigned on June 2006. The practitioner's primary taxonomy code is 207V00000X with license number MDR6H23 (MO). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1316986540
Provider Name
RICHARD XAVIER BRENNAN M.D.
Gender
Male
Entity Type
Individual
Location Address
12700 SOUTHFORK RD STE 230 SAINT LOUIS, MO 63128
Location Phone
(314) 849-3711
Location Fax
(314) 849-0235
Mailing Address
12700 SOUTHFORK RD STE 230 SAINT LOUIS, MO 63128
Mailing Phone
(314) 849-3711
Mailing Fax
(314) 849-0235
Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1986
Is Sole Proprietor?
No
Enumeration Date
06-05-2006
Last Update Date
03-14-2017
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Women's health care providers like Richard Brennan treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
MDR6H23
License State
MO
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

336-069221 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
156440092OTHER (01)MOMEDICARE PTAN #
F12513MEDICARE UPIN (02)MO 
206853004MEDICAID (05)MO 

Medicare Participation & PECOS Enrollment Status

Richard Brennan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Richard Brennan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658557913

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120607000720

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 37 times for 37 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 35 times for 26 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.07 for a new patient copayment and $17.37 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63128 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $128.28
  • Minimum New Patient Price $55.65
  • Maximum New Patient Price $169.38
  • Average New Patient Copayment $32.07
  • Minimum New Patient Copayment $13.91
  • Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.5
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $137.92
  • Average Established Patient Copayment $17.37
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Brennan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MERCY HOSPITAL ST LOUIS615 NEW BALLAS ROAD
SAINT LOUIS, MO 63141
(314) 251-6000Acute Care Hospitals
MERCY HOSPITAL SOUTH10010 KENNERLY ROAD
SAINT LOUIS, MO 63128
(314) 525-1000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316986540, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 8 + 1 + 2 + 5 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1316986540.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
12700 SOUTHFORK RD, STE 205
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, SUITE 290
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE. 280
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Clinic/Center (Ambulatory Surgical)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Nurse Practitioner
12700 SOUTHFORK RD, SUITE 220
SAINT LOUIS, MO 63128
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Nurse Practitioner (Pediatrics)
12700 SOUTHFORK RD, STE 140
SAINT LOUIS, MO 63128
Obstetrics & Gynecology (Gynecology)
12700 SOUTHFORK RD, STE 255
SAINT LOUIS, MO 63128
Nurse Practitioner (Adult Health)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
General Practice
12700 SOUTHFORK RD, STE. 255
SAINT LOUIS, MO 63128
Surgery
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Audiologist
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Audiologist
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Nursing Facility/Intermediate Care Facility
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Pediatrics
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316986540, enumerated as an "individual" on June 05, 2006.

The provider is located at 12700 SOUTHFORK RD STE 230 SAINT LOUIS, MO 63128 and the phone number is (314) 849-3711.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica,. Please consult your insurance carrier or call the provider to verify.

Richard Brennan is affiliated with: MERCY HOSPITAL ST LOUIS and MERCY HOSPITAL SOUTH.