ZACHARY R. JERGENSEN (MD) – Anesthesiology Physician, NPI 1023502093
Anesthesiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,228 ANESTHESIOLOGY in MO
Provider Addresses for ZACHARY R. JERGENSEN (MD)
411 N 22ND ST UNIT 307
SAINT LOUIS, MO 631031544
Phone: (314) 536-7176
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 362-0227
Type: Location
1 Barnes Jewish Hospital Plz
Saint Louis, MO 631101003
Phone: (314) 362-0227
Type: Location
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 841081239
Phone: (801) 581-6393
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $12,905.
Total Amount is formed as General ($12,905) + Research ($0) + Ownership ($0) = $12,905.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($4,076).
Total Amount
$12,905
General + Research + Ownership
Payments
143
Total payment records
General Amount
$12,905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $4,076 |
| Boston Scientific Corporation | $3,650 |
| Medtronic, Inc. | $1,791 |
| Spinal Simplicity, LLC | $1,165 |
| Vertos Medical, Inc. | $694 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220803002566 | I | Anesthesiology | UT | TBD |
| I20240802002728 | I | Pain Management | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63103)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | CO | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Occupational Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | ID | |
| Diagnostic Radiology | ID | |
| G A S T R O E N T E R O L O G Y | MO | |
| Family Practice | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.