ROBERT CORY PROFFER PHYSICIAN ASSISTANT
NPI 1376174417
Physician Assistant - Medical in Saint Louis, MO

Active since January 28, 2020PECOS EnrolledAccepts Medicare Assignment
607 S NEW BALLAS RD STE 2300, SAINT LOUIS, MO 63141(314) 931-5990 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Cory Proffer Physician Assistant NPPES

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

ROBERT CORY PROFFER PHYSICIAN ASSISTANT (NPI 1376174417) is an individual medical provider in Saint Louis, Missouri and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376174417
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROBERT CORY PROFFERCredential: PHYSICIAN ASSISTANT
Location Address607 S NEW BALLAS RD STE 2300Saint Louis, MO 63141-8234
Mailing Address355 Peffer LnFenton, MO 63026-2824 · (314) 607-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 28, 2020
NPI 1376174417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
607 S NEW BALLAS RD STE 2300, Saint Louis, MO 63141

Accepted 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

Robert Cory Proffer Physician Assistant 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 ID345678660
PECOS Enrollment IDI20200320001063
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
19 services15 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Other Providers at the Same Location NPPES 9

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

Otolaryngology
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Audiologist
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Otolaryngology
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Speech-Language Pathologist
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Physician Assistant
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Otolaryngology
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Physician Assistant
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141
Otolaryngology
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376174417, enumerated as an "individual" on January 28, 2020.

The provider is located at 607 S NEW BALLAS RD STE 2300 SAINT LOUIS, MO 63141 and the phone number is (314) 931-5990.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Robert Proffer is affiliated with: MERCY HOSPITAL ST LOUIS.