JOSH E AMATO M.D.
NPI 1467401828
Ophthalmology in Des Peres, MO

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
12990 MANCHESTER RD STE 201, DES PERES, MO 63131(314) 909-0633(314) 909-0391 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Josh E Amato M.d. NPPES

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

JOSH E AMATO M.D. (NPI 1467401828) is an individual ophthalmology provider in Des Peres, Missouri, licensed in Missouri (2006011477) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2000).

NPPES Registry Identity

NPI1467401828
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSH E AMATOCredential: M.D.
Location Address12990 MANCHESTER RD STE 201Des Peres, MO 63131-1860
Mailing Address12990 Manchester Rd Ste 201Des Peres, MO 63131-1860 · (314) 909-0633 · Fax (314) 909-0391
Fax(314) 909-0391
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2000
Enumeration DateMay 10, 2006
Last NPPES UpdateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
NPI 1467401828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2006011477
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
12990 MANCHESTER RD STE 201, Des Peres, MO 63131

Other Names 1

Professional Name (2)Josh E Amato .m.d.

Other Identifiers 3

Other208747MO · Bcbs
Other749220MO · Healthlink
Medicaid201050200MO

Accepted 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

Josh E Amato M.d. 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 ID2062487341
PECOS Enrollment IDI20060712000355
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 10

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.
641 services611 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
275 services152 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
207 services167 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
168 services168 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services126 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
132 services126 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Other Providers at the Same Location NPPES 5

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

Durable Medical Equipment & Medical Supplies
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD STE 201
DES PERES, MO 63131

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 Josh Amato's NPI number?

The NPI number for Josh Amato is 1467401828. It was assigned to this individual provider in the NPPES registry on May 10, 2006. The provider is also known as Josh E Amato .M.D..

Where is Josh Amato located?

Josh Amato practices at 12990 Manchester Rd Ste 201, Des Peres, MO 63131. The listed phone number is (314) 909-0633.

What is Josh Amato's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Josh Amato enrolled in Medicare?

Yes. Josh Amato 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.

What insurance does Josh Amato accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Josh Amato 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.

When was this NPI record last updated?

The NPPES record for Josh Amato was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.