1. Home
  2. Directory
  3. Missouri
  4. O Fallon
  5. Pediatrics
  6. NPI Profile

WUCA-O'FALLON PEDIATRICS, LLC
NPI 1366830572
Pediatrics in O Fallon, MO

Active since December 23, 2014CLIA 26D2118076 · Waiver
20 PROGRESS POINT PKWY, SUITE 220, O FALLON, MO 63368(636) 344-3333 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wuca-o'fallon Pediatrics, Llc NPPES

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

WUCA-O'FALLON PEDIATRICS, LLC (NPI 1366830572) is a healthcare organization registered as a pediatrics in O Fallon, Missouri and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through August 29, 2028 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1366830572
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWUCA-O'FALLON PEDIATRICS, LLC
Location Address20 PROGRESS POINT PKWY, SUITE 220O Fallon, MO 63368-2206
Mailing AddressPo Box 7412027Chicago, IL 60674-2011 · (636) 344-3333
Phone(636) 344-3333
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (314) 273-0770
Enumeration DateDecember 23, 2014
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1366830572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20 PROGRESS POINT PKWY, O Fallon, MO 63368
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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wuca-o'fallon Pediatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wuca-O'fallon Pediatrics, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Randy Agolia, MD
Pediatric Medicine
NPI 1972575439
20 PROGRESS POINT PKWY STE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address
Colin Dolan, MD
Pediatric Medicine
NPI 1629700794
20 PROGRESS POINT PKWY STE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address
John Myers, MD
Pediatric Medicine
NPI 1275508590
20 PROGRESS POINT PKWY STE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address
Phillip Reichert, MD
Pediatric Medicine
NPI 1548236755
20 PROGRESS POINT PKWY STE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address
Cecilia Yu, MD
Pediatric Medicine
NPI 1003959248
20 PROGRESS POINT PKWY STE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address
Gina Nelson, R.N.,C.P.N.P.
Nurse Practitioner
NPI 1457492928
20 PROGRESS POINT PKWY SUITE 220
O Fallon, MO 63368
(636) 344-3333
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2118076

Wuca O'fallon Pediatrics · O Fallon, MO
Active · expires Aug 29, 2028
CLIA Number26D2118076
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2026
Certificate Expiration DateAugust 29, 2028
Laboratory DirectorPhillip D. Reichort
Laboratory Phone(636) 344-3333
Laboratory LocationWuca O'fallon Pediatrics20 Progress Point Pkwy Ste 220, O Fallon, MO 63368
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wuca-O'fallon Pediatrics, LLC's NPI number?

The NPI number for Wuca-O'fallon Pediatrics, LLC is 1366830572. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Wuca-O'fallon Pediatrics, LLC located?

Wuca-O'fallon Pediatrics, LLC is located at 20 Progress Point Pkwy Suite 220, O Fallon, MO 63368. The listed phone number is (636) 344-3333.

What is Wuca-O'fallon Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wuca-O'fallon Pediatrics, LLC enrolled in Medicare?

Yes. Wuca-O'fallon Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wuca-O'fallon Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Wuca-O'fallon Pediatrics, LLC. A 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 the clinician's services. The largest specialties are Pediatric Medicine (5) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wuca-O'fallon Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2118076) is associated with this NPI, valid through August 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wuca-O'fallon Pediatrics, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.