NEIL ETTINGER MD
NPI 1619086451
Internal Medicine - Pulmonary Disease in Chesterfield, MO

Q: What is Neil Ettinger's NPI number?

The NPI number for Neil Ettinger is 1619086451. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Neil Ettinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Neil Ettinger was last updated on June 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

89.23/100

CMS Quality Rating

222 S WOODS MILL RD, SUITE 310N, CHESTERFIELD, MO 63017(314) 576-6700(314) 576-6520 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Neil Ettinger Md NPPES

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

NEIL ETTINGER MD (NPI 1619086451) is an individual pulmonary disease provider in Chesterfield, Missouri, licensed in Missouri (R8E82) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Washington University School Of Medicine (1983).

NPPES Registry Identity

NPI1619086451

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameNEIL ETTINGERCredential: MD

Location Address222 S WOODS MILL RD, SUITE 310NChesterfield, MO 63017-3625

Mailing Address222 S Woods Mill Rd, Suite 310nChesterfield, MO 63017-3625 · (314) 576-6700 · Fax (314) 576-6520

Phone(314) 576-6700

Fax(314) 576-6520

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1983

Enumeration DateAugust 29, 2006

Last NPPES UpdateJune 15, 2012

✔ NPI 1619086451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MO · R8E82

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License R8E82 (MO)

222 S WOODS MILL RD, Chesterfield, MO 63017

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Other Identifiers 3

OtherP00270746Rr Medicare

Medicare UPINE10693MO

Medicare PIN134054700MO

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

Neil Ettinger 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 ID7810921061

PECOS Enrollment IDI20050927000171

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 22

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.

892 services223 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

762 services371 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

396 services296 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.

196 services164 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

194 services192 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

192 services190 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.

151 services90 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

119 services116 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

119 services97 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

105 services105 patients

Test to measure expiratory airflow and volume 94010

98 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

87 services87 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

73 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

73 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

65 services60 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 services16 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

44 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services27 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

89.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.14

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 33

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

24 suppliers687 claims687 services$33.45 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers26 claims51 services$1.43 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

3 suppliers15 claims16 services$0.39 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

20 suppliers258 claims258 services$76.74 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

18 suppliers250 claims690 services$29.07 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

20 suppliers414 claims2,339 services$16.41 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

18 suppliers323 claims1,788 services$12.85 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

29 suppliers780 claims780 services$48.08 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

35 suppliers578 claims578 services$15.16 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

12 suppliers77 claims77 services$8.47 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

19 suppliers240 claims240 services$10.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

33 suppliers945 claims5,364 services$1.76 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

10 suppliers135 claims135 services$4.86 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

25 suppliers412 claims412 services$10.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers54 claims54 services$12.81 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers42 claims42 services$844.66 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers40 claims40 services$79.15 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers44 claims44 services$200.75 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers29 claims29 services$843.68 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

10 suppliers74 claims74 services$119.25 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

9 suppliers172 claims181 services$11.76 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

8 suppliers92 claims100 services$3.43 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

18 suppliers761 claims773 services$30.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

21 suppliers633 claims639 services$71.83 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

15 suppliers319 claims330 services$33.63 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

4 suppliers12 claims12 services$44.99 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier33 claims1,980 services$4.45 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier21 claims1,230 services$6.50 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

21 suppliers122 claims14,580 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers63 claims3,780 services$0.81 avg. paid by Medicare

Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686

DME-Drugs Administered Through DME · category DG004N

3 suppliers12 claims336 services$548.33 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers109 claims110 services$32.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

20 suppliers169 claims169 services$24.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MS. KIMBERLY C GRUNZINGER MSN, RN, ACNS-BC

Clinical Nurse Specialist (Adult Health)

222 S WOODS MILL RD, SUITE 480 N
CHESTERFIELD, MO 63017

St. Louis County (314) 576-7343

RACHEL LYNN FISHMAN OIKNINE M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017

St. Louis County (314) 469-6224

MARYLAND MEDICAL GROUP LTD

Internal Medicine

222 S WOODS MILL RD, SUITE 350N
CHESTERFIELD, MO 63017

St. Louis County (314) 205-6557

MARIA THERESA WEIR

Nurse Practitioner (Adult Health)

222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017

St. Louis County (314) 469-6224

JOHN BEST MD

Internal Medicine (Pulmonary Disease)

222 S WOODS MILL RD, SUITE 310 NORTH
CHESTERFIELD, MO 63017

St. Louis County (314) 576-6700

WEST COUNTY OPHTHALMOLOGY, INC

Ophthalmology

222 S WOODS MILL RD, SUITE 660N
CHESTERFIELD, MO 63017

St. Louis County (314) 878-9902

TARISAI SHARON NYAHODA MD

Internal Medicine (Geriatric Medicine)

222 S WOODS MILL RD
CHESTERFIELD, MO 63017

St. Louis County (314) 205-6050

ZOE LEYH DO

Internal Medicine (Infectious Disease)

222 S WOODS MILL RD
CHESTERFIELD, MO 63017

St. Louis County (314) 205-6050

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 Neil Ettinger's NPI number?

The NPI number for Neil Ettinger is 1619086451. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Neil Ettinger located?

Neil Ettinger practices at 222 S Woods Mill Rd Suite 310N, Chesterfield, MO 63017. The listed phone number is (314) 576-6700.

What is Neil Ettinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Neil Ettinger enrolled in Medicare?

Yes. Neil Ettinger 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 Neil Ettinger 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 Neil Ettinger 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 Neil Ettinger affiliated with any hospitals?

According to CMS data, Neil Ettinger is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Neil Ettinger was last updated on June 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.