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DR. BRUCE JAY BERWALD MD
NPI 1376647644
Internal Medicine in Bridgeton, MO

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
3478 BRIDGELAND DR, BRIDGETON, MO 63044(314) 739-8200(314) 739-8261 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce Jay Berwald Md NPPES

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

DR. BRUCE JAY BERWALD MD (NPI 1376647644) is an individual internal medicine provider in Bridgeton, Missouri, licensed in Missouri (114332) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Medical University Of South Carolina College Of Medicine (1995).

NPPES Registry Identity

NPI1376647644
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRUCE JAY BERWALDCredential: MD
Location Address3478 BRIDGELAND DRBridgeton, MO 63044-2619
Mailing Address3478 Bridgeland DrBridgeton, MO 63044-2639 · (314) 739-8200 · Fax (314) 735-4490
Phone(314) 739-8200
Fax(314) 739-8261
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1995
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1376647644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 114332
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3478 BRIDGELAND DR, Bridgeton, MO 63044
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Other Identifiers 1

Medicaid205292204MO

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

Dr. Bruce Jay Berwald 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.

PECOS PAC ID7810181849
PECOS Enrollment IDI20101103000503
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 9

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 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.
458 services204 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
180 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
31 services20 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.
27 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

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 63044 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 53 patients
100%67 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. RILEY J KATSEV DDS
Dentist (General Practice)
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
DR. CHOTCHAI BOONKHAM M.D.
Internal Medicine
3478 BRIDGELAND DR, SUITE 1
BRIDGETON, MO 63044
St. Louis County (314) 291-3717
DR. MICHAEL THEODORE KATSEV DDS
Dentist
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
BERWALD SURGICAL MEDICAL INC
Non-Pharmacy Dispensing Site
3478 BRIDGELAND DR, STE 2
BRIDGETON, MO 63044
St. Louis County (314) 739-8200
MICHAEL T KATSEV DDS PC
Dentist (General Practice)
3478 BRIDGELAND DR, SUITE 3
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
CHOTCHAI BOONKHAM MD PC
Clinic/Center (Primary Care)
3478 BRIDGELAND DR, SUITE 1
BRIDGETON, MO 63044
St. Louis County (314) 291-3717
DR. DAVID MORTON BERWALD MD
General Practice
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 739-8200

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 Bruce Berwald's NPI number?

The NPI number for Bruce Berwald is 1376647644. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Bruce Berwald located?

Bruce Berwald practices at 3478 Bridgeland Dr, Bridgeton, MO 63044. The listed phone number is (314) 739-8200.

What is Bruce Berwald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bruce Berwald enrolled in Medicare?

Yes. Bruce Berwald 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 Bruce Berwald 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 Bruce Berwald 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 Bruce Berwald affiliated with any hospitals?

According to CMS data, Bruce Berwald is affiliated with Mercy Hospital St Louis, Ssm Health Depaul Hospital St Louis and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Berwald was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.