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DR. JULIE A MARGENTHALER MD
NPI 1750307054
Surgery - Surgical Oncology in Saint Louis, MO

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FL, SAINT LOUIS, MO 63108(314) 362-2280(888) 352-8360 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 17, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Julie A Margenthaler Md NPPES

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

DR. JULIE A MARGENTHALER MD (NPI 1750307054) is an individual surgical oncology provider in Saint Louis, Missouri, licensed in Missouri (112793) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1750307054
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JULIE A MARGENTHALERCredential: MD
Location Address4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-2280 · Fax (888) 352-8360
Phone(314) 362-2280
Fax(888) 352-8360
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1750307054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in MO · 112793
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
4500 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Other Identifiers 1

Medicaid209461201MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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. Julie A Margenthaler Md 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 ID5799726113
PECOS Enrollment IDI20050517000083
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 12

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 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.
226 services218 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
71 services71 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
64 services62 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
63 services63 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
54 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City 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

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 2

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
8 suppliers70 claims225 services$32.59 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
8 suppliers29 claims36 services$287.57 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.

MS. KIM M FRENCH ANP
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-7216
DR. RAVI VIJ MD
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 454-8304
MR. STEVEN CHARLES FUCHS JR. PHARM.D.
Pharmacist
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 657-9013
MS. MEGAN ELIZABETH NEUDECKER FNP
Nurse Practitioner (Family)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 5TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-2280
MS. CATHERINE C ROGERS ANP
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-7216
DR. ZEYNEP GUL MD
Urology
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-8200
MS. STEPHANIE ANNE VOLLMER ANP
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 454-8304
MS. KAYLA THERESE JARRETT PA
Physician Assistant
4500 FOREST PARK AVE, DEPT NEUROLOGICAL SURGERY, STE 1B
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3577

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 Julie Margenthaler's NPI number?

The NPI number for Julie Margenthaler is 1750307054. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Julie Margenthaler located?

Julie Margenthaler practices at 4500 Forest Park Ave Div Surg Oncology, 8th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-2280.

What is Julie Margenthaler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Julie Margenthaler enrolled in Medicare?

Yes. Julie Margenthaler 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 Julie Margenthaler accept?

Health plans from Cox HealthPlans list Julie Margenthaler 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 Julie Margenthaler affiliated with any hospitals?

According to CMS data, Julie Margenthaler is affiliated with Alton Memorial Hospital, Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Julie Margenthaler was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.