MR. PAUL JAMES GARVIN MD
NPI 1407950017
Transplant Surgery in Saint Louis, MO

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
31.73/100
CMS Quality Rating
10004 KENNERLY RD, STE 330A, SAINT LOUIS, MO 63128(314) 543-5963(314) 525-4323 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Paul James Garvin Md NPPES

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

MR. PAUL JAMES GARVIN MD (NPI 1407950017) is an individual transplant surgery provider in Saint Louis, Missouri, licensed in Missouri (33400) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Saint Louis University School Of Medicine (1971).

NPPES Registry Identity

NPI1407950017
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameMR. PAUL JAMES GARVINCredential: MD
Location Address10004 KENNERLY RD, STE 330ASaint Louis, MO 63128-2175
Mailing Address10004 Kennerly Rd, Ste 330aSt Louis, MO 63128-2175 · (314) 543-5963 · Fax (314) 525-4323
Fax(314) 525-4323
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1971
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 5, 2010
✔ NPI 1407950017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in MO · 33400
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
10004 KENNERLY RD, Saint Louis, MO 63128

Other Identifiers 3

Medicaid200768109MO
Medicare PINA27870MO
Medicare PIN20017141MO

Accepted 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

Mr. Paul James Garvin 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 ID8123161569
PECOS Enrollment IDI20100206000197
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 Reassignment

Medicare enrollment records show Paul Garvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
10004 KENNERLY RD, SUITE 330-A
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group

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 5

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.
312 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
170 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
166 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services36 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · 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.

31.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.11
Promoting Interoperability0
Improvement Activities20
Cost59.04

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers13 claims6,088 services$1.18 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers87 claims10,440 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers60 claims10,655 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
19 suppliers97 claims7,440 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers21 claims1,882 services$0.89 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims720 services$2.60 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 20

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

Dentist (General Practice)
10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128
Psychiatry & Neurology (Psychiatry)
10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128
Internal Medicine
10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128
Durable Medical Equipment & Medical Supplies
10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128
Surgery
10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128
Pharmacy (Community/Retail Pharmacy)
10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128
Specialist
10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

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 Paul Garvin's NPI number?

The NPI number for Paul Garvin is 1407950017. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Paul Garvin located?

Paul Garvin practices at 10004 Kennerly Rd Ste 330A, Saint Louis, MO 63128. The listed phone number is (314) 543-5963.

What is Paul Garvin's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Paul Garvin enrolled in Medicare?

Yes. Paul Garvin 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 organization bills Medicare for Paul Garvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Garvin reassigns Medicare benefits to Life Line Surgical Services LLC (Saint Louis, MO). The 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 Paul Garvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Garvin accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and UnitedHealthcare list Paul Garvin 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 Paul Garvin affiliated with any hospitals?

According to CMS data, Paul Garvin is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Paul Garvin was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.