DR. JACQUELINE FAIRCHILD MD
NPI 1912014184
Internal Medicine in Saint Louis, MO

Q: What is Jacqueline Fairchild's NPI number?

The NPI number for Jacqueline Fairchild is 1912014184. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Jacqueline Fairchild's specialty?

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

Q: Is Jacqueline Fairchild enrolled in Medicare?

No. Jacqueline Fairchild has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 24, 2006Opted out of Medicare · through Apr 1, 2028

11709 OLD BALLAS RD STE 101, SAINT LOUIS, MO 63141(314) 993-1200(314) 993-1240 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jacqueline Fairchild Md NPPES

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

DR. JACQUELINE FAIRCHILD MD (NPI 1912014184) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2007022721) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2028, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912014184

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACQUELINE FAIRCHILDCredential: MD

Location Address11709 OLD BALLAS RD STE 101Saint Louis, MO 63141-7029

Mailing Address11709 Old Ballas Rd Ste 101Saint Louis, MO 63141-7029 · (314) 993-1200 · Fax (314) 993-1240

Phone(314) 993-1200

Fax(314) 993-1240

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 24, 2006

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1912014184 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 · 2007022721

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.

11709 OLD BALLAS RD STE 101, Saint Louis, MO 63141

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacqueline Fairchild Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare 5

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

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

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

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260162

Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County

Emergency services

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 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

$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

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

DAVID KATZMAN MD

Internal Medicine

11709 OLD BALLAS RD STE 101
SAINT LOUIS, MO 63141

St. Louis County (314) 993-1200

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 Jacqueline Fairchild's NPI number?

The NPI number for Jacqueline Fairchild is 1912014184. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Jacqueline Fairchild located?

Jacqueline Fairchild practices at 11709 Old Ballas Rd Ste 101, Saint Louis, MO 63141. The listed phone number is (314) 993-1200.

What is Jacqueline Fairchild's specialty?

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

Is Jacqueline Fairchild enrolled in Medicare?

No. Jacqueline Fairchild has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Is Jacqueline Fairchild affiliated with any hospitals?

According to CMS data, Jacqueline Fairchild is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Fairchild was last updated on March 11, 2024. 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.