MERCY CLINIC KIDS PLASTIC SURGERY, LLC
NPI 1942330477
Surgery - Plastic and Reconstructive Surgery in Saint Louis, MO

Q: What is Mercy Clinic Kids Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since March 06, 2007

621 S NEW BALLAS RD, SUITE 260-A, SAINT LOUIS, MO 63141(314) 251-4772(314) 251-5772 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mercy Clinic Kids Plastic Surgery, Llc NPPES

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

MERCY CLINIC KIDS PLASTIC SURGERY, LLC (NPI 1942330477), doing business as Kids Plastic Surgery, Llc, is a healthcare organization registered as a plastic and reconstructive surgery in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1942330477

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameMERCY CLINIC KIDS PLASTIC SURGERY, LLC

Location Address621 S NEW BALLAS RD, SUITE 260-ASaint Louis, MO 63141-8232

Mailing Address621 S New Ballas Rd, Suite 260-aSaint Louis, MO 63141-8232 · (314) 251-4772 · Fax (314) 251-5772

Phone(314) 251-4772

Fax(314) 251-5772

Organization SubpartYesParent: Mercy Clinic East Communities

Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707

Enumeration DateMarch 6, 2007

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1942330477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

621 S NEW BALLAS RD, Saint Louis, MO 63141

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Other Names 1

Former Legal Business NameKids Plastic Surgery, Llc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic Kids Plastic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercy Clinic Kids Plastic Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Heeley, MD

Pediatric Medicine

NPI 1710116207

1 CHILDRENS PL DIV PED GENETICS AND GENOMIC MED
Saint Louis, MO 63110

(314) 454-6093

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mercy Clinic Kids Plastic Surgery, LLC's NPI number?

The NPI number for Mercy Clinic Kids Plastic Surgery, LLC is 1942330477. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider was formerly known as Kids Plastic Surgery, LLC.

Where is Mercy Clinic Kids Plastic Surgery, LLC located?

Mercy Clinic Kids Plastic Surgery, LLC is located at 621 S New Ballas Rd Suite 260-A, Saint Louis, MO 63141. The listed phone number is (314) 251-4772.

What is Mercy Clinic Kids Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mercy Clinic Kids Plastic Surgery, LLC enrolled in Medicare?

Yes. Mercy Clinic Kids Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Kids Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Mercy Clinic Kids Plastic Surgery, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Kids Plastic Surgery, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mercy Clinic Kids Plastic Surgery, LLC 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.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Kids Plastic Surgery, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.