MARK C EDDY MD
NPI 1760596126
Pediatrics - Pediatric Endocrinology in Saint Louis, MO
About Mark C Eddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK C EDDY MD (NPI 1760596126) is an individual pediatric endocrinology provider in Saint Louis, Missouri, licensed in Missouri (105496) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
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
Mark C Eddy 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Eddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Illinois and Missouri enrollments
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 76 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
ST.LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Mark Eddy's NPI number?
The NPI number for Mark Eddy is 1760596126. It was assigned to this individual provider in the NPPES registry on August 19, 2006.
Where is Mark Eddy located?
Mark Eddy practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5648.
What is Mark Eddy's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Mark Eddy enrolled in Medicare?
Yes. Mark Eddy 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 Mark Eddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Eddy reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). 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 Mark Eddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Eddy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Mark Eddy 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 Mark Eddy was last updated on January 15, 2021. 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.
# Mark C Eddy, MD · NPI 1760596126
Pediatric Endocrinology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1760596126 (Entity type: Individual)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 105496 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1465 S GRAND BLVD, Saint Louis, MO 63104-1003
- **Phone:** (314) 577-5648 · **Fax:** (314) 268-6448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** January 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760596126) · Data from the CMS NPPES public registry.