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DR. SUNIL GANGWANI M.D.
NPI 1902004203
Psychiatry & Neurology - Psychiatry in Chesterfield, MO

Active since July 07, 2007PECOS EnrolledAccepts Medicare Assignment
1176 TOWN AND COUNTRY COMMONS DR, CHESTERFIELD, MO 63017(314) 251-2870(314) 251-2871 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2023, May 3, 2018 (2 updates tracked since 2018).

About Dr. Sunil Gangwani M.d. NPPES

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

DR. SUNIL GANGWANI M.D. (NPI 1902004203) is an individual psychiatry provider in Chesterfield, Missouri, licensed in Missouri (2017030250) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902004203
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SUNIL GANGWANICredential: M.D.
Location Address1176 TOWN AND COUNTRY COMMONS DRChesterfield, MO 63017-8200
Mailing Address1176 Town And Country Commons DrChesterfield, MO 63017-8200 · (314) 251-2870 · Fax (314) 251-2871
Phone(314) 251-2870
Fax(314) 251-2871
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 7, 2007
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1902004203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MO · 2017030250✔ Licensed in MO · 2007012480✔ Licensed in IL · 036-126918
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1176 TOWN AND COUNTRY COMMONS DR, Chesterfield, MO 63017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan, 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

Dr. Sunil Gangwani 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 ID5294905519
PECOS Enrollment IDI20200122000883
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 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.
463 services104 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
268 services60 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
8%61 patients1/55-star benchmark: 95%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 13% · 160 patients
Patients 4MonthsOfStart: 38% · 176 patients
44%169 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,759 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%6,514 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%114 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%632 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
37%167 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 556 patients
Patients tobacco: 18% · 106 patients
74%556 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%632 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%632 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
24%632 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DR. SARA MARIE BAUMGARTNER PT, DPT
Specialist
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (636) 893-1106
MIRANDA NICOLE SANDER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1176 TOWN AND COUNTRY COMMONS DR
TOWN AND COUNTRY, MO 63017
St. Louis County (217) 663-5669
MR. TUCKER MCKENZIE WILLIAM BUTLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (314) 251-2870
TARA LYNN OLENDORFF LCSW
Social Worker
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (314) 251-2870
DR. EMILY LOUISE EVANS MD
Psychiatry & Neurology (Neurology)
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (636) 893-1260
DR. THOMAS HORN JR. D.O.
Psychiatry & Neurology (Psychiatry)
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (314) 251-2870
WHITNEY DENISE FEICHTNER FNP
Nurse Practitioner (Family)
1176 TOWN AND COUNTRY COMMONS DR
CHESTERFIELD, MO 63017
St. Louis County (636) 893-1260

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 Sunil Gangwani's NPI number?

The NPI number for Sunil Gangwani is 1902004203. It was assigned to this individual provider in the NPPES registry on July 7, 2007.

Where is Sunil Gangwani located?

Sunil Gangwani practices at 1176 Town And Country Commons Dr, Chesterfield, MO 63017. The listed phone number is (314) 251-2870.

What is Sunil Gangwani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sunil Gangwani enrolled in Medicare?

Yes. Sunil Gangwani 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 Sunil Gangwani accept?

Health plans from Medica, Providence Health Plan and UnitedHealthcare list Sunil Gangwani 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 Sunil Gangwani affiliated with any hospitals?

According to CMS data, Sunil Gangwani is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Sunil Gangwani was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.