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DANIEL JAMES NAUGHTON M.D.
NPI 1548202062
Surgery in Saint Louis, MO

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4440(314) 977-1877 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Aug 30, 2018 (2 updates tracked since 2018).

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

NPI1548202062
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL JAMES NAUGHTONCredential: M.D.
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S Spring Ave Ste 1611Saint Louis, MO 63110-2520 · (314) 977-4717 · Fax (314) 977-1877
Phone(314) 977-4440
Fax(314) 977-1877
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1998
Enumeration DateJune 11, 2006
Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1548202062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2004022315
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.
1225 S GRAND BLVD, Saint Louis, MO 63104
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Secondary Practice Locations 2

Location 11008 S Spring Ave Ste 1611Saint Louis, MO 63110-2520 · Phone (314) 977-4717 · Fax (314) 977-1877
Location 21201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 257-8000 · Fax (314) 977-1877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

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.

PECOS PAC ID7012920804
PECOS Enrollment IDI20060720000429
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 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.

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.
173 services89 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.
63 services38 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.
54 services54 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.
36 services24 patients
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.
15 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician 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.

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

DR. MATTHEW RUSSELL SMEDS MD
Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4730
MARIANA SAID
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2600
HEATHER ESCHBACH DO
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6100
LUTHER J WILLMORE MD
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6082
ANDRES ALEJANDRO MATA HIDALGO MD
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2650
DR. GUILLERMO LINARES M.D.
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4800
RAMA BANDLAMUDI ATLURI M.D.
Internal Medicine (Rheumatology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8836
HENRY CHARLES IDEKER MD
Otolaryngology
1225 S GRAND BLVD, GARDEN LEVEL, DOOR 3
ST LOUIS, MO 63104
St. Louis City (314) 577-8884

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.

What insurance does Daniel Naughton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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, Ssm St Clare Health Center, Ssm Health Saint Louis University Hospital and Poplar Bluff Regional Medical Center.

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.