DR. JOHN M ZEMPEL MD
NPI 1356368856
Psychiatry & Neurology - Epilepsy in Saint Louis, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV NEUROLOGY PEDIATRICS, STE 2130, SAINT LOUIS, MO 63110(314) 454-6120(314) 454-4225 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 20, 2025, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2016).

About Dr. John M Zempel Md NPPES

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

DR. JOHN M ZEMPEL MD (NPI 1356368856) is an individual epilepsy provider in Saint Louis, Missouri, licensed in Missouri (2000151573) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1356368856
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameDR. JOHN M ZEMPELCredential: MD
Location Address1 CHILDRENS PL, DIV NEUROLOGY PEDIATRICS, STE 2130Saint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6120 · Fax (314) 454-4225
Fax(314) 454-4225
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1995
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
✔ NPI 1356368856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in MO · 2000151573
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPediatricsTaxonomy 208000000X · License 2000151573 (MO)
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 2000151573 (MO)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 2000151573 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid205845308MO

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. John M Zempel 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 ID42399362
PECOS Enrollment IDI20080512000194
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 Reassignment

Medicare enrollment records show John Zempel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 236 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

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 John Zempel's NPI number?

The NPI number for John Zempel is 1356368856. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is John Zempel located?

John Zempel practices at 1 Childrens Pl Div Neurology Pediatrics, Ste 2130, Saint Louis, MO 63110. The listed phone number is (314) 454-6120.

What is John Zempel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is John Zempel enrolled in Medicare?

Yes. John Zempel 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 organization bills Medicare for John Zempel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Zempel reassigns Medicare benefits to Washington University (Saint Louis, MO). The 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 John Zempel'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 John Zempel was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.