SIMEON PRAGER M.D.
NPI 1851320329
Internal Medicine in Saint Louis, MO

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
1035 BELLEVUE AVE STE 305, SAINT LOUIS, MO 63117(314) 925-4700 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Simeon Prager M.d. NPPES

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

SIMEON PRAGER M.D. (NPI 1851320329) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (MD105478) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1851320329
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSIMEON PRAGERCredential: M.D.
Location Address1035 BELLEVUE AVE STE 305Saint Louis, MO 63117-1845
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1991
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
NPI 1851320329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · MD105478
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1035 BELLEVUE AVE STE 305, Saint Louis, MO 63117

Secondary Practice Location 1

Location 16555 Chippewa St, SUITE 200Saint Louis, MO 63109-4110 · Phone (314) 647-2555 · Fax (314) 647-2599

Other Identifiers 1

Medicaid206990632MO

Accepted 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

Simeon Prager 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 ID3072707629
PECOS Enrollment IDI20101028000302
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.

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.
248 services155 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
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.
40 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers56 claims141 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers29 claims43 services$1.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$194.42 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
1035 BELLEVUE AVE STE 305
RICHMOND HEIGHTS, MO 63117
Internal Medicine
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Family Medicine
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Nurse Practitioner (Family)
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Internal Medicine
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Family Medicine
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Nurse Practitioner (Adult Health)
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117
Nurse Practitioner (Adult Health)
1035 BELLEVUE AVE STE 305
SAINT LOUIS, MO 63117

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 Simeon Prager's NPI number?

The NPI number for Simeon Prager is 1851320329. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Simeon Prager located?

Simeon Prager practices at 1035 Bellevue Ave Ste 305, Saint Louis, MO 63117. The listed phone number is (314) 925-4700.

What is Simeon Prager's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Simeon Prager enrolled in Medicare?

Yes. Simeon Prager 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 Simeon Prager accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Simeon Prager 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 Simeon Prager affiliated with any hospitals?

According to CMS data, Simeon Prager is affiliated with Barnes Jewish Hospital, Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Simeon Prager was last updated on November 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.