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MAKAYLA WITZIG
NPI 1790579100
Family Medicine in Saint Louis, MO

Active since April 09, 2025PECOS Enrolled
12680 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 251-8888(314) 251-8889 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Makayla Witzig NPPES

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

MAKAYLA WITZIG (NPI 1790579100) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2025023161) and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1790579100
Entity TypeIndividual
Primary Taxonomy207Q00000X
Provider Legal NameMAKAYLA WITZIG
Location Address12680 OLIVE BLVDSaint Louis, MO 63141-6289
Mailing Address12680 Olive Blvd Ste 300Saint Louis, MO 63141-6322
Phone(314) 251-8888
Fax(314) 251-8889
Sole ProprietorYes
Enumeration DateApril 9, 2025
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1790579100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2025023161
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12680 OLIVE BLVD, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 1615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-8888

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makayla Witzig is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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 20

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

MRS. JILL LYNNE STONEMAN FNP
Nurse Practitioner (Family)
12680 OLIVE BLVD, SUITE 200
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
DR. VANI SHARMA MD
Internal Medicine
12680 OLIVE BLVD, STE. 100
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8900
DR. LAUREN ELIZABETH SACHS WILFLING D.O., MBA
Family Medicine
12680 OLIVE BLVD, STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
MS. KATHY L ERLICHSON APRN BC
Nurse Practitioner
12680 OLIVE BLVD, SUITE 200
ST LOUIS, MO 63141
St. Louis County (314) 251-8892
DR. JAMES L LORD MD
Family Medicine
12680 OLIVE BLVD, SUITE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
DR. DEBORAH ANN DUCAR D.C
Chiropractor
12680 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8911
DR. GRANT S HOEKZEMA MD
Family Medicine
12680 OLIVE BLVD, SUITE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
DR. PETER G DANIS MD
Family Medicine
12680 OLIVE BLVD, SUITE 300
CREVE COEUR, MO 63141
St. Louis County (314) 251-8889

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 Makayla Witzig's NPI number?

The NPI number for Makayla Witzig is 1790579100. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Makayla Witzig located?

Makayla Witzig practices at 12680 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 251-8888.

What is Makayla Witzig's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Makayla Witzig enrolled in Medicare?

Yes. Makayla Witzig is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makayla Witzig was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.