DR. GRACE NIZIOLEK MD
NPI 1528486339
Surgery in Saint Louis, MO

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 63110(314) 362-5298(888) 824-2176 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2022).

About Dr. Grace Niziolek Md NPPES

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

DR. GRACE NIZIOLEK MD (NPI 1528486339) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2023027659) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528486339
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. GRACE NIZIOLEKCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCSSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5298 · Fax (888) 824-2176
Fax(888) 824-2176
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1528486339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2023027659
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 2023027659 (MO)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2023027659 (MO)
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200126738MO

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

Dr. Grace Niziolek Md 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 ID6406073600
PECOS Enrollment IDI20230719003570
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
166 services81 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair 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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles 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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110

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 Grace Niziolek's NPI number?

The NPI number for Grace Niziolek is 1528486339. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Grace Niziolek located?

Grace Niziolek practices at 1 Barnes Jewish Hospital Plz Div Surg Accs, Saint Louis, MO 63110. The listed phone number is (314) 362-5298.

What is Grace Niziolek's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Grace Niziolek enrolled in Medicare?

Yes. Grace Niziolek 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 Grace Niziolek accept?

Health plans from Cox HealthPlans list Grace Niziolek 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.

Is Grace Niziolek affiliated with any hospitals?

According to CMS data, Grace Niziolek is affiliated with Alton Memorial Hospital, Memorial Hospital, Barnes Jewish Hospital, Christian Hospital Northeast and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Grace Niziolek was last updated on April 17, 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.