DR. JUSTIN DEAN MOODY D.O.
NPI 1639370489
Emergency Medicine in Saint Louis, MO

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1906 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, Dec 19, 2019 (2 updates tracked since 2019).

About Dr. Justin Dean Moody D.o. NPPES

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

DR. JUSTIN DEAN MOODY D.O. (NPI 1639370489) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2008014393) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2005).

NPPES Registry Identity

NPI1639370489
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN DEAN MOODYCredential: D.O.
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (314) 364-4200
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2005
Enumeration DateMay 30, 2007
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1639370489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MO · 2008014393 Licensed in IL · 036119226
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2008014393 (MO)
10010 KENNERLY RD, Saint Louis, MO 63128

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. Justin Dean Moody D.o. 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 ID941386700
PECOS Enrollment IDI20090501000126
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.

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Perry

Critical Access Hospitals · Perryville, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261311
Location434 North West StreetPerryville, MO 63775 · Perry County
Emergency services

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261330
Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$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.

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.

Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128

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 Justin Moody's NPI number?

The NPI number for Justin Moody is 1639370489. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Justin Moody located?

Justin Moody practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1906.

What is Justin Moody's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Moody enrolled in Medicare?

Yes. Justin Moody 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 Justin Moody accept?

Health plans from Medica list Justin Moody 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 Justin Moody affiliated with any hospitals?

According to CMS data, Justin Moody is affiliated with Mercy Hospital Springfield, Mercy Hospital Perry, Mercy Hospital Lincoln and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Moody was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.