1. Home
  2. Directory
  3. Missouri
  4. Saint Peters
  5. Family Medicine
  6. NPI Profile

DR. STACY R BROUSSARD M.D.
NPI 1932249356
Family Medicine in Saint Peters, MO

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376(636) 916-9615 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Mar 19, 2025, Feb 11, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Stacy R Broussard M.d. NPPES

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

DR. STACY R BROUSSARD M.D. (NPI 1932249356) is an individual family medicine provider in Saint Peters, Missouri, licensed in Missouri (2021045311) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Cedar Knolls.

NPPES Registry Identity

NPI1932249356
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACY R BROUSSARDCredential: M.D.
Location Address201 BJC SAINT PETERS DR STE 200Saint Peters, MO 63376-3386
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 916-9615 · Fax (636) 916-9850
Phone(636) 916-9615
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1990
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1932249356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2021045311✔ Licensed in NJ · 25MA06996700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 BJC SAINT PETERS DR STE 200, Saint Peters, MO 63376
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Stacy Mevs Md

Secondary Practice Location 1

Location 111 Saddle RdCedar Knolls, NJ 07927 · Phone (973) 267-2122

Other Identifiers 1

Medicaid3051404NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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. Stacy R Broussard 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 ID5193859486
PECOS Enrollment IDI20220222001029
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

2

Medicare enrollment records show Stacy Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Groups Lc
12 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1285664268 (314) 996-7644
Newark Community Health Centers, Inc
883 mi
Federally Qualified Health Center (FQHC)
92-96 FERRY STREET
Newark, NJ 07105
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1366993586 (973) 483-1300

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 8

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.
245 services194 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.
150 services150 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.
70 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services35 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services18 patients

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

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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Progress West Hospital

Acute Care Hospitals · O Fallon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260219
Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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 19

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

DR. XIMENA SOLEDAD SCHNURR M.D.
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
FANGHUA LOU MD
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
DR. OBIAGELI IMMACULATA ESOTU MD
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
ANNE LYNG HIBBARD M.D.
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
SAMARA EPPS MCELROY DO
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
STEVEN MICHAEL RADEL M.D.
Family Medicine
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615
STEPHANIE GRAHAM NP
Nurse Practitioner
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-7235
DR. MARK W KOVACH M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
201 BJC SAINT PETERS DR STE 200
SAINT PETERS, MO 63376
St. Charles County (636) 916-9615

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 Stacy Broussard's NPI number?

The NPI number for Stacy Broussard is 1932249356. It was assigned to this individual provider in the NPPES registry on February 7, 2007. The provider is also known as Dr. Stacy Mevs MD.

Where is Stacy Broussard located?

Stacy Broussard practices at 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376. The listed phone number is (636) 916-9615.

What is Stacy Broussard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacy Broussard enrolled in Medicare?

Yes. Stacy Broussard 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 Stacy Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Broussard reassigns Medicare benefits to 2 organizations: Physician Groups Lc (Saint Louis, MO) and Newark Community Health Centers, Inc (Newark, NJ). 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 Stacy Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Broussard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Stacy Broussard 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 Stacy Broussard affiliated with any hospitals?

According to CMS data, Stacy Broussard is affiliated with Mercy Hospital St Louis, Missouri Baptist Medical Center, Christian Hospital Northeast, Barnes-Jewish St Peters Hospital and Progress West Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Broussard was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.