DR. SETH L HEPNER MD
NPI 1609131663
Psychiatry & Neurology - Neurology in Bridgeton, MO
About Dr. Seth L Hepner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SETH L HEPNER MD (NPI 1609131663) is an individual neurology provider in Bridgeton, Missouri, licensed in Missouri (2016031388) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Seth L Hepner 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.
Medicare Billing Reassignments
27Medicare enrollment records show Seth Hepner reassigns Medicare billing to 27 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
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Peoria, IL 61603
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Missouri enrollment
- 8 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 6 clinicians in this Medicare group
Davenport, IA 52803
- Reassigned Medicare billing, Iowa enrollment
- 358 clinicians in this Medicare group
Morris, IL 60450
- Reassigned Medicare billing, Illinois enrollment
- 207 clinicians in this Medicare group
Oskaloosa, IA 52577
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Ames, IA 50010
- Reassigned Medicare billing, Iowa and Missouri enrollments
- Also billed through NPI 1477539492 (Missouri)
- 42 clinicians in this Medicare group
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 212 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 14
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.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOSsm Health Depaul Hospital St Louis
Acute Care Hospitals · Bridgeton, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPresbyterian Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
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 Seth Hepner's NPI number?
The NPI number for Seth Hepner is 1609131663. It was assigned to this individual provider in the NPPES registry on July 5, 2012.
Where is Seth Hepner located?
Seth Hepner practices at 12266 De Paul Dr Ste 100, Bridgeton, MO 63044. The listed phone number is (314) 738-2770.
What is Seth Hepner's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Seth Hepner enrolled in Medicare?
Yes. Seth Hepner 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 Seth Hepner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seth Hepner reassigns Medicare benefits to 27 organizations: Ssm Health Care Group (Saint Louis, MO), Ssm Medical Group, Inc. (Fenton, MO), Methodist Medical Center Of Illinois (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), Carle Health Medical Group (Urbana, IL) and 22 more organizations, listed in the Medicare section above. 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 Seth Hepner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seth Hepner 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 11 other insurers list Seth Hepner 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 Seth Hepner affiliated with any hospitals?
According to CMS data, Seth Hepner is affiliated with Ssm St Joseph Health Center, Barnes Jewish Hospital, Ssm Health Depaul Hospital St Louis, Ssm St Joseph Hospital West and Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Seth Hepner was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Seth L Hepner, MD · NPI 1609131663
Neurology physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since July 5, 2012.
## Identity
- **NPI:** 1609131663 (Entity type: Individual)
- **Enumerated:** July 5, 2012
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 2016031388 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12266 DE PAUL DR STE 100, Bridgeton, MO 63044-2541
- **Phone:** (314) 738-2770 · **Fax:** (314) 355-6584
## 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:** 27 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO); Methodist Medical Center Of Illinois (NPI 1184670663, Peoria, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL); and 22 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609131663) · Data from the CMS NPPES public registry.