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ERNESTO JOSE NEGRON M.D.
NPI 1841475845
Hospitalist in Saint Louis, MO

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-5772(314) 996-7691 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ernesto Jose Negron M.d. NPPES

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

ERNESTO JOSE NEGRON M.D. (NPI 1841475845) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2013005305) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Amberwell Atchison Association, and is a graduate of Ponce School Of Medicine (2006).

NPPES Registry Identity

NPI1841475845
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameERNESTO JOSE NEGRONCredential: M.D.
Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329
Mailing Address3015 N Ballas RdSaint Louis, MO 63131-2329 · (314) 996-5772 · Fax (314) 996-7691
Phone(314) 996-5772
Fax(314) 996-7691
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2006
Enumeration DateJanuary 8, 2008
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1841475845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MO · 2013005305
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 245542 (MA), 2013005305 (MO)
3015 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 10

Other1841475845MA · Anthem
Other1841475845MA · Aetna
Other756489MA · Tufts
OtherJ47193MA · Bcbs
Other1841475845MA · Boston Medical Center
Other94245601MA · Network
OtherAA183186MA · Hphc
Medicaid110086494AMA
Other0595576MA · Neighborhood Health Plan
Other4410249MA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Ernesto Jose Negron M.d. 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 ID8628194347
PECOS Enrollment IDI20130716000900
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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
249 services235 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
156 services155 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171382
Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County
Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260057
Location1600 E EvergreenCameron, MO 64429 · Clinton County
Emergency services

Mosaic Medical Center Albany

Critical Access Hospitals · Albany, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261328
Location705 N College StreetAlbany, MO 64402 · Gentry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$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.

MS. ASHLEY FRANCES MARIE PIKE FNP
Nurse Practitioner (Family)
3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
PAUL S PATANE M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330
MR. BLAIR ANTHONY MALENCH PA
Physician Assistant
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5225
ADNAN MANZOOR MD
Hospitalist
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5772
LAUREN MARIE HECHT RD, LD
Dietitian, Registered
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (573) 579-6375
DR. ALAN P LYSS MD
Internal Medicine (Hematology & Oncology)
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5514
VIRGILIO P DUMADAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4285
STEPHEN R DAVIS M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330

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 Ernesto Negron's NPI number?

The NPI number for Ernesto Negron is 1841475845. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Ernesto Negron located?

Ernesto Negron practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5772.

What is Ernesto Negron's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ernesto Negron enrolled in Medicare?

Yes. Ernesto Negron 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 Ernesto Negron accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Ernesto Negron 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 Ernesto Negron affiliated with any hospitals?

According to CMS data, Ernesto Negron is affiliated with Amberwell Atchison Association, Mosaic Life Care At St Joseph, Cameron Regional Medical Center and Mosaic Medical Center Albany.

When was this NPI record last updated?

The NPPES record for Ernesto Negron was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.