EDWARD STEPHEN BOLESTA MD
NPI 1366456840
Pathology - Anatomic Pathology in St Louis, MO
About Edward Stephen Bolesta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD STEPHEN BOLESTA MD (NPI 1366456840) is an individual anatomic pathology provider in St Louis, Missouri, licensed in Missouri (36579) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses 3
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
Edward Stephen Bolesta 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.
Medicare Billing Reassignment
Medicare enrollment records show Edward Bolesta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St. Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 10 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.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Barnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOMissouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOBarnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOProgress West Hospital
Acute Care Hospitals · O Fallon, MOMissouri Baptist Sullivan Hospital
Critical Access Hospitals · Sullivan, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Edward Bolesta's NPI number?
The NPI number for Edward Bolesta is 1366456840. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Edward Bolesta located?
Edward Bolesta practices at 1402 S Grand, St Louis, MO 63104. The listed phone number is (314) 577-8000.
What is Edward Bolesta's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.
Is Edward Bolesta enrolled in Medicare?
Yes. Edward Bolesta 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 Edward Bolesta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Bolesta reassigns Medicare benefits to Parkway Pathology Group, Inc. (St. 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 Edward Bolesta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Bolesta affiliated with any hospitals?
According to CMS data, Edward Bolesta is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish St Peters Hospital, Progress West Hospital and Missouri Baptist Sullivan Hospital.
When was this NPI record last updated?
The NPPES record for Edward Bolesta was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Edward Stephen Bolesta, MD · NPI 1366456840
Anatomic Pathology physician in St Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1366456840 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Pathology - Anatomic Pathology · taxonomy 207ZP0101X
- **State license:** 36579 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1402 S GRAND, St Louis, MO 63104
- **Phone:** (314) 577-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Parkway Pathology Group, Inc. (NPI 1245206960, St. Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** January 17, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1366456840) · Data from the CMS NPPES public registry.