Sumesh Kaswan, M.D.
NPI 1396867032 · Plastic Surgery Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumesh Kaswan, M.D. is a Plastic Surgery Physician provider in Saint Louis, MO (NPI 1396867032).
Provider details
- NPI number
- 1396867032
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2014006063 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
40 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 15 | $128 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 14 | $35 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $116 |
Typical Medicare-allowed amounts for these services range $35–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,725 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1225 S Grand BlvdSaint Louis, MO 63104-1016Phone: (314) 977-4440
- 915 N Grand BlvdSaint Louis, MO 63106-1621Phone: (314) 652-4100
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Sumesh Kaswan's NPI number?
- Sumesh Kaswan's National Provider Identifier (NPI) is 1396867032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumesh Kaswan's specialty?
- Sumesh Kaswan is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sumesh Kaswan located?
- Sumesh Kaswan's practice location on file with NPPES is 1201 S Grand Blvd, Saint Louis, MO 63104-1016.
- What is Sumesh Kaswan's phone number?
- The practice phone number listed in the NPPES registry for Sumesh Kaswan is (314) 617-2000.
- Does Sumesh Kaswan accept Medicare?
- Sumesh Kaswan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumesh Kaswan's NPI active?
- Yes — Sumesh Kaswan's NPI (1396867032) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.