NICOLE GLOOR MD
NPI 1437619269
Obstetrics & Gynecology in Saint Louis, MO

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 768-8000 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Gloor Md NPPES

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

NICOLE GLOOR MD (NPI 1437619269) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2023008426) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437619269
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE GLOORCredential: MD
Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811
Mailing Address6420 Clayton Rd Ste 290Saint Louis, MO 63117-1811 · (314) 781-1031 · Fax (314) 781-2480
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1437619269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2023008426
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6420 CLAYTON RD, Saint Louis, MO 63117

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

Nicole Gloor 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 ID143555995
PECOS Enrollment IDI20230627001414
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

3

Medicare enrollment records show Nicole Gloor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5701 DELMAR BLVD
Saint Louis, MO 63112
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Betty Jean Kerr Peoples Health Centers
  • 53 clinicians in this Medicare group
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
Public Health, State or Local
6121 N HANLEY RD
Saint Louis, MO 63134
  • Reassigned Medicare billing, Missouri enrollment
  • 46 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.

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

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 63117 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 20

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

Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117

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 Nicole Gloor's NPI number?

The NPI number for Nicole Gloor is 1437619269. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Nicole Gloor located?

Nicole Gloor practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 768-8000.

What is Nicole Gloor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Gloor enrolled in Medicare?

Yes. Nicole Gloor 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 Nicole Gloor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gloor reassigns Medicare benefits to 3 organizations: Betty Jean Kerr People's Health Centers (Saint Louis, MO), Ssm Health Care Group (Saint Louis, MO) and County Of St Louis Division Of Fiscal Management (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 Nicole Gloor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Gloor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Nicole Gloor 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 Nicole Gloor affiliated with any hospitals?

According to CMS data, Nicole Gloor is affiliated with Ssm St Joseph Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Nicole Gloor was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.