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MS. LAURIE L BETTLACH PA
NPI 1497765663
Physician Assistant in Saint Louis, MO

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110(314) 362-7200(314) 747-4189 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2015).

About Ms. Laurie L Bettlach Pa NPPES

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

MS. LAURIE L BETTLACH PA (NPI 1497765663) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2007011167) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497765663
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LAURIE L BETTLACHCredential: PA
Location Address510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGYSaint Louis, MO 63110-1016
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7200 · Fax (314) 747-4189
Phone(314) 362-7200
Fax(314) 747-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 15, 20255 updates tracked since enumeration
✔ NPI 1497765663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2007011167
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid220031458MO

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

Ms. Laurie L Bettlach Pa 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 ID1355441072
PECOS Enrollment IDI20070711000167
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
19 services18 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.
19 services19 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

BENJAMIN LEE MD
Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. MAHAD ANWAAR MINHAS MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ADRIAN ALBERTO SANCHEZ MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ZIAD WALID TARCHA MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JAMES EDWARD KELLY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JOSHUA S SHIMONY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
RASHID FUAD AL-SUKAITI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ANDREW THOMAS GREER MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200

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 Laurie Bettlach's NPI number?

The NPI number for Laurie Bettlach is 1497765663. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Laurie Bettlach located?

Laurie Bettlach practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.

What is Laurie Bettlach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laurie Bettlach enrolled in Medicare?

Yes. Laurie Bettlach 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.

Is Laurie Bettlach affiliated with any hospitals?

According to CMS data, Laurie Bettlach is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Laurie Bettlach was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.