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: October 25, 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 Perry, and maintains 5 additional practice locations.

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

Secondary Practice Locations 5

Location 11000 E Cherry StTroy, MO 63379-1513 · Phone (636) 528-8551
Location 21400 US Highway 61Festus, MO 63028-4100 · Phone (636) 933-1111
Location 3615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-6090
Location 4901 E 5th StWashington, MO 63090-3127 · Phone (636) 239-8011
Location 5434 N West StPerryville, MO 63775-1359 · Phone (573) 547-2536

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. 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.

Medicare Billing Reassignments

10

Medicare enrollment records show Justin Moody reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
10010 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 186 clinicians in this Medicare group
General Acute Care Hospital
615 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 241 clinicians in this Medicare group
Neurology
15740 S OUTER 40 RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 263 clinicians in this Medicare group
General Acute Care Hospital
1400 HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 118 clinicians in this Medicare group
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
Rural Health
851 E 5TH ST, SUITE 200
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 178 clinicians in this Medicare group
Critical Access
800 STE GENEVIEVE DR
Ste Genevieve, MO 63670
  • Reassigned Medicare billing, Missouri enrollment
  • 61 clinicians in this Medicare group
Rural Health
35 WINFIELD PLZ
Winfield, MO 63389
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1962808733 (Missouri)
  • 229 clinicians in this Medicare group
Rural Health
206 HOSPITAL LN
Perryville, MO 63775
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1063117158 (Missouri)
  • 192 clinicians in this Medicare group
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 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 3

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

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
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Nurse Anesthetist, Certified Registered
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.

Which organizations bill Medicare for Justin Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Moody reassigns Medicare benefits to 10 organizations: Mercy Hospital South (Saint Louis, MO), Mercy Hospitals East Communities (Saint Louis, MO), Mercy Aco Clinical Services Inc (Chesterfield, MO), Mercy Hospital Jefferson (Festus, MO), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL) and 5 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 Justin Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Moody accept?

Health plans from Anthem Blue Cross and Blue Shield 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 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 6 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.