DR. RYAN GOERGEN D.M.D.
NPI 1487059721
Dentist - General Practice in Saint Louis, MO
About Dr. Ryan Goergen D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN GOERGEN D.M.D. (NPI 1487059721) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2014038355) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ryan Goergen D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryan Goergen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St. Louis, MO 63112
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Betty Jean Kerr Peoples Health Centers
- 53 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63108
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 Ryan Goergen's NPI number?
The NPI number for Ryan Goergen is 1487059721. It was assigned to this individual provider in the NPPES registry on October 29, 2014.
Where is Ryan Goergen located?
Ryan Goergen practices at 4055 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (314) 535-7701.
What is Ryan Goergen's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ryan Goergen enrolled in Medicare?
Yes. Ryan Goergen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryan Goergen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Goergen reassigns Medicare benefits to Betty Jean Kerr People's Health Centers (St. 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 Ryan Goergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Goergen accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Ryan Goergen 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 Ryan Goergen was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Ryan Goergen, D.M.D. · NPI 1487059721
General Practice provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 29, 2014.
## Identity
- **NPI:** 1487059721 (Entity type: Individual)
- **Enumerated:** October 29, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2014038355 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4055 LINDELL BLVD, Saint Louis, MO 63108-3201
- **Phone:** (314) 535-7701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Betty Jean Kerr People's Health Centers (NPI 1841668688, St. Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1487059721) · Data from the CMS NPPES public registry.