1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

MARY BETH CHISMARICH M.D.
NPI 1871600379
Pediatrics in Saint Louis, MO

Active since August 23, 2006PECOS Enrolled
621 S NEW BALLAS RD, SUITE: 6006-B, SAINT LOUIS, MO 63141(314) 251-6299(314) 251-4450 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Beth Chismarich M.d. NPPES

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

MARY BETH CHISMARICH M.D. (NPI 1871600379) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2000157483) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871600379
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY BETH CHISMARICHCredential: M.D.
Location Address621 S NEW BALLAS RD, SUITE: 6006-BSaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Suite: 6006-bSaint Louis, MO 63141-8232 · (314) 251-6299 · Fax (314) 251-4450
Phone(314) 251-6299
Fax(314) 251-4450
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 5, 2011
✔ NPI 1871600379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2000157483
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
621 S NEW BALLAS RD, Saint Louis, MO 63141
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Beth Bange M.d.

Other Identifiers 1

Medicare UPINH35188MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Beth Chismarich M.d. 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.

STEPHANIE LYNN SHOREY WHNP-BC
Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
St. Louis County (314) 991-5000
DR. KATHRYN BOTNEY M.D.
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5016
HUILIN LI M.D.
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
LUIS A GIUFFRA LLC
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7720
JOSEPH G HERRMANN MD LLC
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
St. Louis County (314) 432-0056
KAREN KILO RN, CDE, RD
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-4330
KATINA M CANDEE PA-C
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-2095
DR. PETER KONG-WOO YOON M.D.
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364

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 Mary Chismarich's NPI number?

The NPI number for Mary Chismarich is 1871600379. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Mary Beth Bange M.D..

Where is Mary Chismarich located?

Mary Chismarich practices at 621 S New Ballas Rd Suite: 6006-B, Saint Louis, MO 63141. The listed phone number is (314) 251-6299.

What is Mary Chismarich's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Chismarich enrolled in Medicare?

Yes. Mary Chismarich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Chismarich was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.