DANIEL JAMES NAUGHTON M.D.
NPI 1548202062
Surgery in Saint Louis, MO
About Daniel James Naughton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL JAMES NAUGHTON M.D. (NPI 1548202062) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2004022315) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniel James Naughton M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Daniel Naughton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Regional Hlth Center
Acute Care Hospitals · Mount Vernon, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILAnderson Hospital
Acute Care Hospitals · Maryville, ILSalem Township Hospital
Critical Access Hospitals · Salem, ILSsm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Daniel Naughton's NPI number?
The NPI number for Daniel Naughton is 1548202062. It was assigned to this individual provider in the NPPES registry on June 11, 2006.
Where is Daniel Naughton located?
Daniel Naughton practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4440.
What is Daniel Naughton's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Daniel Naughton enrolled in Medicare?
Yes. Daniel Naughton 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.
Which organizations bill Medicare for Daniel Naughton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Naughton reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each 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 Daniel Naughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Naughton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Daniel Naughton 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 Daniel Naughton affiliated with any hospitals?
According to CMS data, Daniel Naughton is affiliated with Good Samaritan Regional Hlth Center, Hshs St Elizabeth's Hospital, Anderson Hospital, Salem Township Hospital and Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Daniel Naughton was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Daniel James Naughton, M.D. · NPI 1548202062
Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1548202062 (Entity type: Individual)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2004022315 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 S GRAND BLVD, Saint Louis, MO 63104-1016
- **Phone:** (314) 977-4440 · **Fax:** (314) 977-1877
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** March 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548202062) · Data from the CMS NPPES public registry.