DR. MARK EDWARD HALSTEAD MD
NPI 1598783227
Pediatrics - Sports Medicine in Chesterfield, MO

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200, CHESTERFIELD, MO 63017(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Apr 25, 2024, Apr 10, 2024 and 5 more (8 updates tracked since 2016).

About Dr. Mark Edward Halstead Md NPPES

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

DR. MARK EDWARD HALSTEAD MD (NPI 1598783227) is an individual sports medicine provider in Chesterfield, Missouri, licensed in Missouri (2004011774) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1998).

NPPES Registry Identity

NPI1598783227
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. MARK EDWARD HALSTEADCredential: MD
Location Address14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200Chesterfield, MO 63017-5705
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Fax(314) 878-7678
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 9, 20258 updates tracked since enumeration
✔ NPI 1598783227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in MO · 2004011774
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
14532 S OUTER 40 RD, Chesterfield, MO 63017

Other Identifiers 1

Medicaid209144609MO

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

Dr. Mark Edward Halstead 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 ID4486634714
PECOS Enrollment IDI20040726000632
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Halstead reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
660 S EUCLID AVE, CAMPUS BOX 8233
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 157 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.

Hospital Affiliations CMS Care Compare 2

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

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

Progress West Hospital

Acute Care Hospitals · O Fallon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260219
Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County
Emergency services Birthing friendly

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Occupational Therapist
14532 S OUTER 40 RD, DEPT OCCUPATIONAL THERAPY, STE 120
CHESTERFIELD, MO 63017
Occupational Therapist (Hand)
14532 S OUTER 40 RD, DEPT OCCUPATIONAL THERAPY, STE 120
CHESTERFIELD, MO 63017
Physician Assistant
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200
CHESTERFIELD, MO 63017
Specialist/Technologist (Athletic Trainer)
14532 S OUTER 40 RD
CHESTERFIELD, MO 63017
Specialist/Technologist (Athletic Trainer)
14532 S OUTER 40 RD
CHESTERFIELD, MO 63017
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200
CHESTERFIELD, MO 63017
Physician Assistant
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200
CHESTERFIELD, MO 63017
Physician Assistant
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200
CHESTERFIELD, MO 63017

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 Mark Halstead's NPI number?

The NPI number for Mark Halstead is 1598783227. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Halstead located?

Mark Halstead practices at 14532 S Outer 40 Rd Dept Orthopaedic Surgery, Ste 200, Chesterfield, MO 63017. The listed phone number is (314) 514-3500.

What is Mark Halstead's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Mark Halstead enrolled in Medicare?

Yes. Mark Halstead 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 organization bills Medicare for Mark Halstead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Halstead reassigns Medicare benefits to Washington University (Saint Louis, MO). The 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 Mark Halstead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Halstead accept?

Health plans from Cox HealthPlans and UnitedHealthcare list Mark Halstead 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 Mark Halstead affiliated with any hospitals?

According to CMS data, Mark Halstead is affiliated with Barnes Jewish Hospital and Progress West Hospital.

When was this NPI record last updated?

The NPPES record for Mark Halstead was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.