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DR. DAMON R. BROYLES M.D.
NPI 1407856396
Family Medicine in Saint Louis, MO

Active since July 21, 2005PECOS Enrolled
701 S NEW BALLAS RD STE 150, SAINT LOUIS, MO 63141(636) 237-4025(636) 237-4030 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Damon R. Broyles M.d. NPPES

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

DR. DAMON R. BROYLES M.D. (NPI 1407856396) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2004002145) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407856396
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAMON R. BROYLESCredential: M.D.
Location Address701 S NEW BALLAS RD STE 150Saint Louis, MO 63141-8728
Mailing Address701 S New Ballas Rd Ste 150Saint Louis, MO 63141-8728 · (636) 237-4025 · Fax (636) 237-4030
Phone(636) 237-4025
Fax(636) 237-4030
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1407856396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2004002145
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
701 S NEW BALLAS RD STE 150, Saint Louis, MO 63141
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Other Identifiers 1

Medicaid208987800MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Damon R. Broyles M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Damon Broyles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Aco Clinical Services Inc
6.3 mi
Neurology
15740 S OUTER 40 RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 263 clinicians in this Medicare group
NPI 1063965093 (636) 237-4200
Mercy Health Northwest Arkansas Communities
257 mi
Multi-Specialty
1 MERCY WAY
Bella Vista, AR 72714
  • Reassigned Medicare billing, Arkansas enrollment
  • 472 clinicians in this Medicare group
NPI 1396173514 (479) 802-5555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

MS. ALECIA D WELVERS FNP
Nurse Practitioner (Family)
701 S NEW BALLAS RD STE 150
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7855
MOLLY PORTER FNP- BC
Nurse Practitioner (Family)
701 S NEW BALLAS RD STE 150
SAINT LOUIS, MO 63141
St. Louis County (636) 237-4025

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 Damon Broyles's NPI number?

The NPI number for Damon Broyles is 1407856396. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Damon Broyles located?

Damon Broyles practices at 701 S New Ballas Rd Ste 150, Saint Louis, MO 63141. The listed phone number is (636) 237-4025.

What is Damon Broyles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Damon Broyles enrolled in Medicare?

Yes. Damon Broyles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Damon Broyles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damon Broyles reassigns Medicare benefits to 2 organizations: Mercy Aco Clinical Services Inc (Chesterfield, MO) and Mercy Health Northwest Arkansas Communities (Bella Vista, AR). 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 Damon Broyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Damon Broyles was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.