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DR. DALE M HENSELMEIER M.D.
NPI 1699748756
Family Medicine in Bridgeton, MO

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
12255 DE PAUL DR, SUITE 600, BRIDGETON, MO 63044(314) 291-1074(314) 290-0802 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dale M Henselmeier M.d. NPPES

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

DR. DALE M HENSELMEIER M.D. (NPI 1699748756) is an individual family medicine provider in Bridgeton, Missouri, licensed in Missouri (R8831) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Saint Louis University School Of Medicine (1977).

NPPES Registry Identity

NPI1699748756
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALE M HENSELMEIERCredential: M.D.
Location Address12255 DE PAUL DR, SUITE 600Bridgeton, MO 63044-2510
Mailing AddressPo Box 955534Saint Louis, MO 63195-2510
Phone(314) 291-1074
Fax(314) 290-0802
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1977
Enumeration DateFebruary 9, 2006
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1699748756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R8831
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12255 DE PAUL DR, Bridgeton, MO 63044
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Other Identifiers 1

OtherP00075900MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.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. Dale M Henselmeier 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 ID5395869911
PECOS Enrollment IDI20100902000525
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 8

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.

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.
379 services234 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
160 services160 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.
40 services35 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
20 services20 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
20 services20 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers37 claims86 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers30 claims37 services$1.09 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
3 suppliers13 claims13 services$46.61 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims68 services$1.82 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers14 claims16 services$32.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SSM DEPAUL MEDICAL GROUP, INC.
Family Medicine
12255 DE PAUL DR, SUITE 200
BRIDGETON, MO 63044
St. Louis County (314) 344-7600
NORTH COUNTY NEUROSURGERY, INC
Neurological Surgery
12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044
St. Louis County (314) 291-6556
HORIZON BEHAVIORAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044
St. Louis County (314) 344-7770
CHRISTINA M HAWTHORNE DPM
Podiatrist (Foot & Ankle Surgery)
12255 DE PAUL DR, STE 470
BRIDGETON, MO 63044
St. Louis County (314) 739-8863
LISA B RING MD
Dermatology
12255 DE PAUL DR, #845
BRIDGETON, MO 63044
St. Louis County (314) 344-0004
ROBERT BYRNE M.D.
Internal Medicine
12255 DE PAUL DR, SUITE 700
BRIDGETON, MO 63044
St. Louis County (314) 739-4166
MRS. ISABEL LEVINE ROSENBLOOM M.D.
Pediatrics
12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044
St. Louis County (314) 291-7766
SSM DEPAUL MEDICAL GROUP, INC.
Neurological Surgery
12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044
St. Louis County (314) 291-6556

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 Dale Henselmeier's NPI number?

The NPI number for Dale Henselmeier is 1699748756. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Dale Henselmeier located?

Dale Henselmeier practices at 12255 De Paul Dr Suite 600, Bridgeton, MO 63044. The listed phone number is (314) 291-1074.

What is Dale Henselmeier's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dale Henselmeier enrolled in Medicare?

Yes. Dale Henselmeier 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 Dale Henselmeier accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Dale Henselmeier 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 Dale Henselmeier affiliated with any hospitals?

According to CMS data, Dale Henselmeier is affiliated with Ssm St Joseph Health Center, Mercy Hospital St Louis, Ssm Health Depaul Hospital St Louis, Missouri Baptist Medical Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Dale Henselmeier was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.