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

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carly Gridley Md 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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carly Gridley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
902 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
John T. Mather Memorial Hospital
937 mi
Critical Care Medicine
75 N COUNTRY RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 255 clinicians in this Medicare group
NPI 1467249334 (631) 473-1320

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 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

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carly Gridley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gridley reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and John T. Mather Memorial Hospital (Port Jefferson, NY). 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 Carly Gridley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.