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MR. JOSHUA M SAPPINGTON M.D.
NPI 1366767766
Otolaryngology in St. Louis, MO

Active since March 29, 2010PECOS EnrolledAccepts Medicare Assignment
1225 S. GRAND, DOOR 3, ST. LOUIS, MO 63104(314) 977-5110(314) 977-7686 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, May 13, 2016 (2 updates tracked since 2016).

About Mr. Joshua M Sappington M.d. NPPES

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

MR. JOSHUA M SAPPINGTON M.D. (NPI 1366767766) is an individual otolaryngology provider in St. Louis, Missouri, licensed in Illinois (TEMPORARY LICENSURE) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of St. Louis College Of Physicians And Surgeons (2010).

NPPES Registry Identity

NPI1366767766
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. JOSHUA M SAPPINGTONCredential: M.D.
Location Address1225 S. GRAND, DOOR 3St. Louis, MO 63104
Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-8884
Phone(314) 977-5110
Fax(314) 977-7686
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2010
Enumeration DateMarch 29, 2010
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1366767766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · TEMPORARY LICENSURE
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1225 S. GRAND, St. Louis, MO 63104
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Other Identifiers 1

Medicaid2390970LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Joshua M Sappington M.d. 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 ID6406160332
PECOS Enrollment IDI20170720000865
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
148 services106 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services97 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
76 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
46 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician 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.

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 11

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

ANTHONY A MIKULEC MD
Otolaryngology (Otology & Neurotology)
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
DR. TERRY LYNN MOORE M.D.
Internal Medicine (Rheumatology)
1225 S. GRAND
ST. LOUIS, MO 63104
St. Louis City (314) 977-8838
COLLIN CHEN M.D.
Otolaryngology
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
DR. JOSEPH DAVID BRUNWORTH M.D.
Otolaryngology
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
THOMAS R SANFORD MD
Otolaryngology
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
MICHELLE P WECKBACH
Speech-Language Pathologist
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
AMY E COOLEY NP
Nurse Practitioner
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110
JOHN F EISENBEIS MD
Otolaryngology
1225 S. GRAND, DOOR 3
ST. LOUIS, MO 63104
St. Louis City (314) 977-5110

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 Joshua Sappington's NPI number?

The NPI number for Joshua Sappington is 1366767766. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Joshua Sappington located?

Joshua Sappington practices at 1225 S. Grand Door 3, St. Louis, MO 63104. The listed phone number is (314) 977-5110.

What is Joshua Sappington's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joshua Sappington enrolled in Medicare?

Yes. Joshua Sappington 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.

What insurance does Joshua Sappington accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Joshua Sappington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joshua Sappington affiliated with any hospitals?

According to CMS data, Joshua Sappington is affiliated with Mercy Hospital St Louis, Mercy Hospital South, Ssm St Clare Health Center, Ssm Health Saint Louis University Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Sappington was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.