Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERESA LYNN MICOTTO M.D.
NPI 1932580388
Emergency Medicine in Saint Louis, MO

Active since June 11, 2015PECOS Enrolled
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 762-0089 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Oct 10, 2023, Aug 2, 2018 and 3 more (6 updates tracked since 2016).

About Teresa Lynn Micotto M.d. NPPES

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

TERESA LYNN MICOTTO M.D. (NPI 1932580388) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2500098462) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932580388
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTERESA LYNN MICOTTOCredential: M.D.
Location Address3635 VISTA AVESaint Louis, MO 63110-2539
Mailing Address3635 Vista AveSaint Louis, MO 63110-2539
Sole ProprietorYes
Enumeration DateJune 11, 2015
Last NPPES UpdateAugust 25, 20266 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1932580388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MO · 2500098462
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3635 VISTA AVE, Saint Louis, MO 63110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Teresa Lynn Micotto 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 63110 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.

Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110

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 Teresa Micotto's NPI number?

The NPI number for Teresa Micotto is 1932580388. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Teresa Micotto located?

Teresa Micotto practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 762-0089.

What is Teresa Micotto's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Teresa Micotto enrolled in Medicare?

Yes. Teresa Micotto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teresa Micotto was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.