DR. JEROLD JAY KREISMAN M.D.
NPI 1497864185
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Q: What is Jerold Kreisman's NPI number?

The NPI number for Jerold Kreisman is 1497864185. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Jerold Kreisman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Jerold Kreisman enrolled in Medicare?

No. Jerold Kreisman has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jerold Kreisman was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 29, 2006Opted out of Medicare · through Feb 10, 2028

11477 OLDE CABIN RD, STE 200, SAINT LOUIS, MO 63141(314) 567-5000(314) 567-3110 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jerold Jay Kreisman M.d. NPPES

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

DR. JEROLD JAY KREISMAN M.D. (NPI 1497864185) is an individual psychiatry provider in Saint Louis, Missouri, licensed in Missouri (R6606) and active in the NPI registry since August 2006. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497864185

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JEROLD JAY KREISMANCredential: M.D.

Location Address11477 OLDE CABIN RD, STE 200Saint Louis, MO 63141-7076

Mailing Address11477 Olde Cabin Rd, Ste 200Saint Louis, MO 63141-7130 · (314) 567-5000 · Fax (314) 567-3110

Phone(314) 567-5000

Fax(314) 567-3110

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 10, 2010

✔ NPI 1497864185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MO · R6606

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

11477 OLDE CABIN RD, Saint Louis, MO 63141

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Other Identifiers 1

Medicare UPINA10972MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jerold Jay Kreisman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2016 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2016

Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$169.38 typical visit price

range $55.65 – $169.38

Typical copayment $42.34 (range $13.91 – $42.34)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES 19

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

FRED G. HICKS M.D.

Psychiatry & Neurology (Psychiatry)

11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5000

DARWIN R. WHITE M.A., L.C.S.W.

Social Worker (Clinical)

11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5000

TRACY M OLSON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

11477 OLDE CABIN RD
SAINT LOUIS, MO 63141

St. Louis County (314) 569-1717

JANE I BURNS M.S., L.P.C.

Counselor (Professional)

11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5000

NEIL I. BRICKEL, MD, INC

Specialist

11477 OLDE CABIN RD, SUITE 210
SAINT LOUIS, MO 63141

St. Louis County (314) 997-5208

JOY B. BASSETT L.C.S.W.

Social Worker (Clinical)

11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5000

DR. ARTURO CALVO TACA JR. MD

Psychiatry & Neurology (Psychiatry)

11477 OLDE CABIN RD, SUITE 210
CREVE COEUR, MO 63141

St. Louis County (314) 997-5208

ALLIED BEHAVIORAL CONSULTANTS, INC.

Psychiatry & Neurology (Psychiatry)

11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5000

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 Jerold Kreisman's NPI number?

The NPI number for Jerold Kreisman is 1497864185. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jerold Kreisman located?

Jerold Kreisman practices at 11477 Olde Cabin Rd Ste 200, Saint Louis, MO 63141. The listed phone number is (314) 567-5000.

What is Jerold Kreisman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jerold Kreisman enrolled in Medicare?

No. Jerold Kreisman has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jerold Kreisman was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.