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DR. TIMOTHY C PHILPOTT MD
NPI 1861570004
Obstetrics & Gynecology in Saint Louis, MO

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
3023 N BALLAS RD, STE 120D, SAINT LOUIS, MO 63131(314) 432-3669(314) 432-3118 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, May 3, 2021 (3 updates tracked since 2021).

About Dr. Timothy C Philpott Md NPPES

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

DR. TIMOTHY C PHILPOTT MD (NPI 1861570004) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (106250) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1861570004
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. TIMOTHY C PHILPOTTCredential: MD
Location Address3023 N BALLAS RD, STE 120DSaint Louis, MO 63131-2330
Mailing AddressPo Box 7412065Chicago, IL 60674-2065 · (314) 432-3669 · Fax (314) 432-3118
Phone(314) 432-3669
Fax(314) 432-3118
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1994
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1861570004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 106250
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.
3023 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 1

Medicaid203877006MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, UnitedHealthcare.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. Timothy C Philpott 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 ID8224296801
PECOS Enrollment IDI20120229000086
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

3

Medicare enrollment records show Timothy Philpott reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
Same address
Multi-Specialty
3023 N BALLAS RD STE 120D
Saint Louis, MO 63131
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
NPI 1053172403 (314) 432-3669
Missouri Baptist Medical Center
Same address
General Practice
3015 N BALLAS RD
Saint Louis, MO 63131
  • Reassigned Medicare billing, Missouri enrollment
  • 82 clinicians in this Medicare group
NPI 1467461434 (314) 996-5000
Ste Genevieve County Memorial Hospital
50 mi
Rural Health
800 STE GENEVIEVE DR
Ste Genevieve, MO 63670
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1992875249 (573) 883-5715

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 5

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.

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.
30 services30 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
26 services26 patients
Biopsy of lining of uterus 58100
A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.
18 services18 patients
Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less 58542
This is a minimally invasive procedure where a small device (endoscope) is used to remove part of the uterus and/or related structures, while leaving the cervix intact. The procedure is performed on a uterus weighing 250.0 g or less.
17 services17 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.
13 services12 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

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

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 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
$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 20

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

DAVID LEE WEINSTEIN MD
Obstetrics & Gynecology
3023 N BALLAS RD, STE 440D
SAINT LOUIS, MO 63131
St. Louis County (314) 432-8181
DR. ANGELA MARY REINING MD
Obstetrics & Gynecology
3023 N BALLAS RD, STE 120D
SAINT LOUIS, MO 63131
St. Louis County (314) 432-3669
DR. ROBERT B. LEHMAN M.D.
Internal Medicine (Cardiovascular Disease)
3023 N BALLAS RD, STE 200D
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7272
MRS. NOELLE CUSHMAN
Pharmacist
3023 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7501
JENNIFER HELENE SMITH MD
Obstetrics & Gynecology
3023 N BALLAS RD, STE 440D
SAINT LOUIS, MO 63131
St. Louis County (314) 432-8181
MRS. MARY H BRICE RN BC ANP
Nurse Practitioner
3023 N BALLAS RD, SUITE 500D RHEUMATOLOGY & INTERNAL MED ASSOC OF WEST CO
ST LOUIS, MO 63131
St. Louis County (314) 567-4541
DR. LINDA STRONACH MD
Internal Medicine (Cardiovascular Disease)
3023 N BALLAS RD, 200D
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7272
MAUREEN B. RIFFLE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3023 N BALLAS RD, SUITE 520 D
SAINT LOUIS, MO 63131
St. Louis County (314) 569-2620

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 Timothy Philpott's NPI number?

The NPI number for Timothy Philpott is 1861570004. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Timothy Philpott located?

Timothy Philpott practices at 3023 N Ballas Rd Ste 120D, Saint Louis, MO 63131. The listed phone number is (314) 432-3669.

What is Timothy Philpott's specialty?

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

Is Timothy Philpott enrolled in Medicare?

Yes. Timothy Philpott 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 Timothy Philpott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Philpott reassigns Medicare benefits to 3 organizations: Washington University (Saint Louis, MO), Missouri Baptist Medical Center (Saint Louis, MO) and Ste Genevieve County Memorial Hospital (Ste Genevieve, 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 Timothy Philpott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Philpott accept?

Health plans from Cox HealthPlans and UnitedHealthcare list Timothy Philpott 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 Timothy Philpott affiliated with any hospitals?

According to CMS data, Timothy Philpott is affiliated with Mercy Hospital St Louis, Missouri Baptist Medical Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Philpott was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.