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

Q: What is Robert Proffer's NPI number?

The NPI number for Robert Proffer is 1376174417. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Q: What is Robert Proffer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Robert Proffer was last updated on January 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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.

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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

Phone(314) 931-5990

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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 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.

DR. JAMES RICHARD MARTIN MD

Otolaryngology