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TIMOTHY REILLY
NPI 1679058754
Physician Assistant in Saint Louis, MO

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1328 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 18, 2023, Sep 25, 2018 (2 updates tracked since 2018).

About Timothy Reilly NPPES

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

TIMOTHY REILLY (NPI 1679058754) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2022037500) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1679058754
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY REILLY
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address10010 Kennerly RdSaint Louis, MO 63128-2106 · (314) 525-1328
Phone(314) 525-1328
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateSeptember 25, 2018
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1679058754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2022037500✔ Licensed in NY · 022615
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10010 KENNERLY RD, Saint Louis, MO 63128
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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

Timothy Reilly 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 ID7214281674
PECOS Enrollment IDI20230124000405
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

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

JEREMY STEPHEN COLYER AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222
REHABILITATION MEDICINE SPECIALISTS, INC.
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4522
DR. MICHAEL D. BAZZANI M.D.
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1165
DR. YUNHONG ZHANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
REBECCA SUSAN HOPKINS R.D., L.D.
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1266
MRS. CASSANDRA ASHLEY STROTHKAMP NP-C
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1900
RAHUL GUPTA MD
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1906
YIFU F ZHU AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000

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 Timothy Reilly's NPI number?

The NPI number for Timothy Reilly is 1679058754. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Timothy Reilly located?

Timothy Reilly practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1328.

What is Timothy Reilly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Reilly enrolled in Medicare?

Yes. Timothy Reilly 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 Timothy Reilly 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 3 other insurers list Timothy Reilly 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 Timothy Reilly affiliated with any hospitals?

According to CMS data, Timothy Reilly is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Timothy Reilly was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.