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KEVIN MICHAEL SCHARFF MD
NPI 1780637553
Obstetrics & Gynecology in Glen Carbon, IL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
2246 ILLINOIS STATE ROUTE 157, SUITE 100, GLEN CARBON, IL 62034(618) 288-9251(618) 288-6900 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Michael Scharff Md NPPES

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

KEVIN MICHAEL SCHARFF MD (NPI 1780637553) is an individual obstetrics & gynecology provider in Glen Carbon, Illinois, licensed in Missouri (2016004839) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Fenton.

NPPES Registry Identity

NPI1780637553
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKEVIN MICHAEL SCHARFFCredential: MD
Location Address2246 ILLINOIS STATE ROUTE 157, SUITE 100Glen Carbon, IL 62034
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(618) 288-9251
Fax(618) 288-6900
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2000
Enumeration DateMay 19, 2006
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1780637553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MO · 2016004839✔ Licensed in IL · 036111603
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2246 ILLINOIS STATE ROUTE 157, Glen Carbon, IL 62034
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Other Names 1

Other Name (5)K Michael Scharff Md

Secondary Practice Location 1

Location 11011 Bowles Ave Ste 300Fenton, MO 63026-2387 · Phone (636) 496-5011

Other Identifiers 1

Medicaid036111603IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company.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

Kevin Michael Scharff 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 ID7517944267
PECOS Enrollment IDI20160321001081
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Scharff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Cardinal Glennon Childrens Hospital
13 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120
Ssm Health Care St. Louis
19 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
Ssm Medical Group, Inc.
31 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62034 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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 Kevin Scharff's NPI number?

The NPI number for Kevin Scharff is 1780637553. It was assigned to this individual provider in the NPPES registry on May 19, 2006. The provider is also known as K Michael Scharff MD.

Where is Kevin Scharff located?

Kevin Scharff practices at 2246 Illinois State Route 157 Suite 100, Glen Carbon, IL 62034. The listed phone number is (618) 288-9251.

What is Kevin Scharff's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Scharff enrolled in Medicare?

Yes. Kevin Scharff 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 Kevin Scharff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Scharff reassigns Medicare benefits to 3 organizations: Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL), Ssm Health Care St. Louis (Saint Louis, MO) and Ssm Medical Group, Inc. (Fenton, 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 Kevin Scharff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Scharff accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Kevin Scharff 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 Kevin Scharff affiliated with any hospitals?

According to CMS data, Kevin Scharff is affiliated with Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for Kevin Scharff was last updated on November 6, 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.