CRAIG W BELSHA MD
NPI 1457458879
Pediatrics - Pediatric Nephrology in St. Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1465 S GRAND BLVD, ST. LOUIS, MO 63104(314) 577-5662(314) 268-6449 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 15, 2021, May 8, 2019 (2 updates tracked since 2019).

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About Craig W Belsha Md NPPES

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

CRAIG W BELSHA MD (NPI 1457458879) is an individual pediatric nephrology provider in St. Louis, Missouri, licensed in Missouri (114867) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1985).

NPPES Registry Identity

NPI1457458879

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameCRAIG W BELSHACredential: MD

Location Address1465 S GRAND BLVDSt. Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5662 · Fax (314) 268-6449

Phone(314) 577-5662

Fax(314) 268-6449

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1985

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1457458879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in MO · 114867

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 114867 (MO)

1465 S GRAND BLVD, St. Louis, MO 63104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Craig W Belsha 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 ID2365492162

PECOS Enrollment IDI20050129000035

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.

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

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

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers16 claims2,550 services$0.33 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier16 claims1,800 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier23 claims2,284 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers23 claims23 services$17.61 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier19 claims34 services$11.54 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.

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