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

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: July 19, 2026.

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
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

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.

Psychiatry & Neurology (Psychiatry)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
11477 OLDE CABIN RD, SUITE 210
CREVE COEUR, MO 63141
Social Worker (Clinical)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Counselor (Professional)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Social Worker (Clinical)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Social Worker (Clinical)
11477 OLDE CABIN RD, SUITE 200
SAINT LOUIS, MO 63141
Counselor (Addiction (Substance Use Disorder))
11477 OLDE CABIN RD, SUITE 210
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497864185, enumerated as an "individual" on August 29, 2006.

The provider is located at 11477 OLDE CABIN RD STE 200 SAINT LOUIS, MO 63141 and the phone number is (314) 567-5000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.