Ear Nose & Throat & Plastic Surg Inc
NPI 1104911288 · Facial Plastic Surgery Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ear Nose & Throat & Plastic Surg Inc is a Facial Plastic Surgery Physician organization in Saint Louis, MO (NPI 1104911288).
Provider details
- NPI number
- 1104911288
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Barnes, President(314) 821-5002
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 12277 Depaul Dr Ste 303Bridgeton, MO 63044-2529Phone: (314) 821-5002Fax: (314) 821-8029
- 4800 Mexico Rd Ste 103Saint Peters, MO 63376-1666Phone: (314) 821-5002Fax: (314) 821-5029
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Ear Nose & Throat & Plastic Surg Inc's NPI number?
- Ear Nose & Throat & Plastic Surg Inc's National Provider Identifier (NPI) is 1104911288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ear Nose & Throat & Plastic Surg Inc?
- Ear Nose & Throat & Plastic Surg Inc is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ear Nose & Throat & Plastic Surg Inc located?
- Ear Nose & Throat & Plastic Surg Inc's practice location on file with NPPES is 2325 Dougherty Ferry Rd Ste 106, Saint Louis, MO 63122-3356.
- What is Ear Nose & Throat & Plastic Surg Inc's phone number?
- The practice phone number listed in the NPPES registry for Ear Nose & Throat & Plastic Surg Inc is (314) 821-5002.
- Does Ear Nose & Throat & Plastic Surg Inc accept Medicare?
- Ear Nose & Throat & Plastic Surg Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ear Nose & Throat & Plastic Surg Inc?
- The authorized official listed on Ear Nose & Throat & Plastic Surg Inc's NPPES record is Richard Barnes, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ear Nose & Throat & Plastic Surg Inc's NPI active?
- Yes — Ear Nose & Throat & Plastic Surg Inc's NPI (1104911288) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.