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DR. EMILY L SAMMONS MD
NPI 1780860395
Obstetrics & Gynecology in Lake St Louis, MO

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
1000 EDGEWATER POINTE, SUITE 200, LAKE ST LOUIS, MO 63367(636) 561-8088(636) 561-1405 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Emily L Sammons Md NPPES

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

DR. EMILY L SAMMONS MD (NPI 1780860395) is an individual obstetrics & gynecology provider in Lake St Louis, Missouri, licensed in Missouri (2010014125) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Hospital West, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2006).

NPPES Registry Identity

NPI1780860395
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. EMILY L SAMMONSCredential: MD
Location Address1000 EDGEWATER POINTE, SUITE 200Lake St Louis, MO 63367
Mailing Address1000 Edgewater Pointe, Suite 200Lake St Louis, MO 63367 · (636) 561-8088 · Fax (636) 561-1405
Phone(636) 561-8088
Fax(636) 561-1405
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateJanuary 14, 2008
Last NPPES UpdateDecember 28, 2015
✔ NPI 1780860395 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 · 2010014125✔ Licensed in IN · 01064812A
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.
1000 EDGEWATER POINTE, Lake St Louis, MO 63367
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Emily L Sammons 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 ID8022195536
PECOS Enrollment IDI20110105001122
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

2

Medicare enrollment records show Emily Sammons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
0.7 mi
Emergency Medical Services
100 MEDICAL PLZ
Lake St Louis, MO 63367
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1538113097 (636) 625-5200
Heartland Women's Healthcare Mo PC
6.4 mi
Obstetrics & Gynecology
1603 WENTZVILLE PKWY
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1588191431 (618) 997-5266

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

Areas of Expertise CMS Part B claims 4

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.
35 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
26 services26 patients
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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

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 63367 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA ANN SULLIVAN MD
Obstetrics & Gynecology
1000 EDGEWATER POINTE, SUITE: 200
LAKE ST. LOUIS, MO 63367
St. Charles County (636) 561-8088
NANCI JAYNE BUCY DO
Obstetrics & Gynecology
1000 EDGEWATER POINTE, SUITE 200
LAKE ST. LOUIS, MO 63367
St. Charles County (636) 561-8088

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 Emily Sammons's NPI number?

The NPI number for Emily Sammons is 1780860395. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Emily Sammons located?

Emily Sammons practices at 1000 Edgewater Pointe Suite 200, Lake St Louis, MO 63367. The listed phone number is (636) 561-8088.

What is Emily Sammons's specialty?

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

Is Emily Sammons enrolled in Medicare?

Yes. Emily Sammons 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 Emily Sammons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Sammons reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Lake St Louis, MO) and Heartland Women's Healthcare Mo PC (Wentzville, 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 Emily Sammons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Sammons 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 Emily Sammons 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 Emily Sammons affiliated with any hospitals?

According to CMS data, Emily Sammons is affiliated with Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Emily Sammons was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.