DR. PAUL D. KING M.D.
NPI 1609872704
Internal Medicine - Gastroenterology in Saint Louis, MO

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
92.46/100
CMS Quality Rating
615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141(314) 251-2880 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2023, Jul 26, 2022, Apr 17, 2018 (3 updates tracked since 2018).

About Dr. Paul D. King M.d. NPPES

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

DR. PAUL D. KING M.D. (NPI 1609872704) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (R1647) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (1985).

NPPES Registry Identity

NPI1609872704
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAUL D. KINGCredential: M.D.
Location Address615 S NEW BALLAS RD STE 1200Saint Louis, MO 63141-8221
Mailing Address615 S New Ballas Rd Ste 1200Saint Louis, MO 63141-8221 · (314) 251-2880
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1985
Enumeration DateJune 23, 2005
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1609872704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in MO · R1647 Licensed in TN · 49489 Licensed in MS · 22349
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

615 S NEW BALLAS RD STE 1200, Saint Louis, MO 63141

Other Identifiers 8

Other6326V54782MO · Healthcare Usa
Other1732416MS · First Health
Other228719MO · Group Health Plans
Other201191032MO · Tricare
Other4206923MO · Aetna
Other514183MO · Private Healthcare System
Other3089254005MO · Cigna
Other194002MO · Blue Cross Blue Shield

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. Paul D. King 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 ID1658336755
PECOS Enrollment IDI20041201000095
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 7

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.

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.
98 services97 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.
93 services93 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
65 services65 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.
35 services34 patients
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.
30 services26 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

92.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.41
Promoting Interoperability100
Improvement Activities40
Cost84.45

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Physician Assistant
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141
Physician Assistant (Medical)
615 S NEW BALLAS RD STE 1200
SAINT LOUIS, MO 63141

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 Paul King's NPI number?

The NPI number for Paul King is 1609872704. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Paul King located?

Paul King practices at 615 S New Ballas Rd Ste 1200, Saint Louis, MO 63141. The listed phone number is (314) 251-2880.

What is Paul King's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul King enrolled in Medicare?

Yes. Paul King 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 Paul King 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 5 other insurers list Paul King 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 Paul King affiliated with any hospitals?

According to CMS data, Paul King is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Paul King was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.