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MADELINE KAY GIACALONE D.O.
NPI 1831539667
Obstetrics & Gynecology in Saint Louis, MO

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
10012 KENNERLY RD STE 405, SAINT LOUIS, MO 63128(314) 378-9864 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 30, 2016 (2 updates tracked since 2016).

About Madeline Kay Giacalone D.o. NPPES

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

MADELINE KAY GIACALONE D.O. (NPI 1831539667) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2017016481) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1831539667
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMADELINE KAY GIACALONECredential: D.O.
Location Address10012 KENNERLY RD STE 405Saint Louis, MO 63128-2197
Mailing Address10012 Kennerly Rd Ste 405Saint Louis, MO 63128-2197 · (314) 378-9864
Phone(314) 378-9864
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1831539667 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 · 2017016481✔ Licensed in IL · 125.062601
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.
10012 KENNERLY RD STE 405, Saint Louis, MO 63128
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Secondary Practice Location 1

Location 1415 N 9th StSpringfield, IL 62702-5303 · Phone (217) 545-5117 · Fax (217) 545-9217

Accepted Insurance

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

Madeline Kay Giacalone D.o. 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 ID42514317
PECOS Enrollment IDI20170613000108
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 3

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.
16 services15 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
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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 3

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

DR. ANYA VEREMAKIS DO
Obstetrics & Gynecology
10012 KENNERLY RD STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4880
JANICE E EISLEBEN WHNP
Nurse Practitioner (Women's Health)
10012 KENNERLY RD STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4880
MS. KRISTIN JOY WALD RNC, WHNP
Nurse Practitioner (Women's Health)
10012 KENNERLY RD STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 543-6986

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 Madeline Giacalone's NPI number?

The NPI number for Madeline Giacalone is 1831539667. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Madeline Giacalone located?

Madeline Giacalone practices at 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128. The listed phone number is (314) 378-9864.

What is Madeline Giacalone's specialty?

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

Is Madeline Giacalone enrolled in Medicare?

Yes. Madeline Giacalone 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 Madeline Giacalone accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Madeline Giacalone 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 Madeline Giacalone affiliated with any hospitals?

According to CMS data, Madeline Giacalone is affiliated with Mercy Hospital St Louis, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Giacalone was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.