1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Obstetrics Gynecology
  6. NPI Profile

DR. CARLY GRIDLEY MD
NPI 1326664988
Obstetrics & Gynecology in Saint Louis, MO

Active since June 19, 2020PECOS Enrolled
615 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141(314) 251-6062(314) 251-4376 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carly Gridley Md NPPES

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

DR. CARLY GRIDLEY MD (NPI 1326664988) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2020017466) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326664988
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARLY GRIDLEYCredential: MD
Location Address615 S NEW BALLAS RD STE 2009BSaint Louis, MO 63141-8221
Mailing Address615 S New Ballas Rd Ste 2009bSaint Louis, MO 63141-8221 · (314) 251-6062 · Fax (314) 251-4376
Phone(314) 251-6062
Fax(314) 251-4376
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1326664988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2020017466
Definition
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.
615 S NEW BALLAS RD STE 2009B, Saint Louis, MO 63141
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carly Gridley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446673230
PECOS Enrollment IDI20251031000772
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
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 2

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

KATHLEEN EASTWOOD CNM
Advanced Practice Midwife
615 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6092
DR. TESSA LUCY EVELYN BAUM MD
Obstetrics & Gynecology
615 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6062

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 Carly Gridley's NPI number?

The NPI number for Carly Gridley is 1326664988. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Carly Gridley located?

Carly Gridley practices at 615 S New Ballas Rd Ste 2009B, Saint Louis, MO 63141. The listed phone number is (314) 251-6062.

What is Carly Gridley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carly Gridley enrolled in Medicare?

Yes. Carly Gridley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Gridley was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.