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DR. JAMES DOUGLAS WIRTHLIN MD
NPI 1386903060
Anesthesiology in Saint Louis, MO

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110(800) 862-9980(314) 362-1185 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 5 more (8 updates tracked since 2019).

About Dr. James Douglas Wirthlin Md NPPES

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

DR. JAMES DOUGLAS WIRTHLIN MD (NPI 1386903060) is an individual anesthesiology provider in Saint Louis, Missouri, licensed in Missouri (2021011319) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1386903060
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JAMES DOUGLAS WIRTHLINCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGYSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (800) 862-9980 · Fax (314) 362-1185
Phone(800) 862-9980
Fax(314) 362-1185
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 15, 2012
Last NPPES UpdateJune 26, 20268 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1386903060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2021011319
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-2000

Other Identifiers 1

Medicaid200062635MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Douglas Wirthlin 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 ID7719388388
PECOS Enrollment IDI20210702001725
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Wirthlin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
6.4 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 405 clinicians in this Medicare group
NPI 1528005642 (314) 286-1045
Metro-West Anesthesia Group Inc
6.7 mi
Anesthesiology
400 S WOODS MILL RD, STE 140
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
NPI 1245427335 (314) 485-1101
Mid-West Anesthesia Partners, LLC
6.7 mi
Anesthesiology
400 S WOODS MILL RD STE 140
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 81 clinicians in this Medicare group
NPI 1851254304 (314) 485-1101
Ssm Health Slu Hospital Anesthesia Physician Billing, LLC
7.8 mi
Anesthesiology
3635 VISTA AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 142 clinicians in this Medicare group
NPI 1407232804 (314) 577-8000
Ssm Health Care Group
7.9 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100

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

Areas of Expertise CMS Part B claims 7

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.

Other procedure on nervous system 64999
A procedure on the nervous system can involve various techniques to diagnose or treat conditions affecting your brain, spinal cord, or nerves. These can include surgeries, tests, or therapies. It's done by specialized doctors to help improve your neurological health.
36 services36 patients
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter 64416
This procedure involves injecting a numbing agent, often combined with a steroid, into the nerve bundle in your arm. It's typically done via continuous infusion. The aim is to manage pain and reduce inflammation, enhancing your comfort and recovery.
28 services28 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
28 services28 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
14 services14 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
13 services11 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

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

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

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

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
1 BARNES JEWISH HOSPITAL PLZ, DIV IM MEDICAL ONCOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 747-1171
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373

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 James Wirthlin's NPI number?

The NPI number for James Wirthlin is 1386903060. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is James Wirthlin located?

James Wirthlin practices at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis, MO 63110. The listed phone number is (800) 862-9980.

What is James Wirthlin's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is James Wirthlin enrolled in Medicare?

Yes. James Wirthlin 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.

Which organizations bill Medicare for James Wirthlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wirthlin reassigns Medicare benefits to 5 organizations: Washington University (Saint Louis, MO), Metro-West Anesthesia Group Inc (Chesterfield, MO), Mid-West Anesthesia Partners, LLC (Chesterfield, MO), Ssm Health Slu Hospital Anesthesia Physician Billing, LLC (Saint Louis, MO) and Ssm Health Care Group (Saint Louis, MO). Each 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 James Wirthlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Wirthlin accept?

Health plans from Oscar Insurance Company list James Wirthlin 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 James Wirthlin affiliated with any hospitals?

According to CMS data, James Wirthlin is affiliated with Barnes Jewish Hospital, Ssm St Clare Health Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for James Wirthlin was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.