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DR. GEORGE RANDOLPHE WETTACH MD
NPI 1407077852
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
425 S EUCLID AVE, DEPT PATHOLOGY, SAINT LOUIS, MO 63110(314) 362-5641(314) 362-0369 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Oct 31, 2017 (3 updates tracked since 2017).

About Dr. George Randolphe Wettach Md NPPES

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

DR. GEORGE RANDOLPHE WETTACH MD (NPI 1407077852) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in Missouri (2016007356) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1407077852
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. GEORGE RANDOLPHE WETTACHCredential: MD
Location Address425 S EUCLID AVE, DEPT PATHOLOGYSaint Louis, MO 63110-1005
Mailing Address660 S Euclid Ave, Cb 8118Saint Louis, MO 63110-1010 · (314) 362-5641 · Fax (314) 362-0369
Phone(314) 362-5641
Fax(314) 362-0369
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
✔ NPI 1407077852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MO · 2016007356
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
425 S EUCLID AVE, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200031776MO

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. George Randolphe Wettach 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 ID5799931598
PECOS Enrollment IDI20160412002238, I20230707000591
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
324 services228 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
127 services44 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
74 services63 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
70 services62 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
49 services34 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
24 services16 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 13

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

DR. JOHN S.A CHRISINGER MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. SUZANNE RENEE THIBODEAUX MD PHD
Pathology (Clinical Pathology)
425 S EUCLID AVE, DIV PA LAB AND GENOMIC MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. CHIEH-YU LIN MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. ZHONGREN ZHOU MD
Pathology (Anatomic Pathology)
425 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 273-1884
DR. ELIZABETH MATTHEWS BRUNT MD
Pathology (Anatomic Pathology & Clinical Pathology)
425 S EUCLID AVE, 3RD FLOOR
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. PEGGY LYNN KENDALL MD
Internal Medicine (Allergy & Immunology)
425 S EUCLID AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 996-8670
DR. CODY WEIMHOLT DO
Pathology (Anatomic Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641
DR. KATHLEEN BYRNES MD
Pathology (Anatomic Pathology & Clinical Pathology)
425 S EUCLID AVE, DIV PA, ANATOMIC AND MOLECULAR PATHOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5641

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 George Wettach's NPI number?

The NPI number for George Wettach is 1407077852. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is George Wettach located?

George Wettach practices at 425 S Euclid Ave Dept Pathology, Saint Louis, MO 63110. The listed phone number is (314) 362-5641.

What is George Wettach's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is George Wettach enrolled in Medicare?

Yes. George Wettach 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.

Is George Wettach affiliated with any hospitals?

According to CMS data, George Wettach is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for George Wettach was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.