MERCY CLINIC EAST COMMUNITIES
NPI 1700370061
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ballwin, MO
About Mercy Clinic East Communities NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY CLINIC EAST COMMUNITIES (NPI 1700370061) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Ballwin, Missouri and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Jonathan Tyler Sturgeon, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Clinic East Communities is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
743Medicare enrollment records show 743 clinicians reassign Medicare billing to Mercy Clinic East Communities, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 279 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 743Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0895086
Mercy Clinic · Ballwin, MOFrequently 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 Mercy Clinic East Communities's NPI number?
The NPI number for Mercy Clinic East Communities is 1700370061. It was assigned to this organization in the NPPES registry on June 20, 2018.
Where is Mercy Clinic East Communities located?
Mercy Clinic East Communities is located at 15945 Clayton Rd Ste 310, Ballwin, MO 63011. The listed phone number is (636) 893-1356.
What is Mercy Clinic East Communities's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Mercy Clinic East Communities enrolled in Medicare?
Yes. Mercy Clinic East Communities is registered in the Medicare PECOS enrollment system.
When is Mercy Clinic East Communities's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mercy Clinic East Communities?
According to the CMS Revalidation Reassignment List (October 2026 release), 743 clinicians in 18 Medicare specialties reassign their Medicare billing to Mercy Clinic East Communities. A 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 the clinician's services. The largest specialties are Nurse Practitioner (288), Family Practice (157) and Internal Medicine (132). Of these, 24 practice at this address and 279 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mercy Clinic East Communities hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0895086) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mercy Clinic East Communities accept?
Health plans from Anthem Blue Cross and Blue Shield list Mercy Clinic East Communities 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.
When was this NPI record last updated?
The NPPES record for Mercy Clinic East Communities was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.