DR. JOHN JACOB LONG (DO) – Anesthesiology Physician, NPI 1063442648

DR. JOHN JACOB LONG (DO) is a healthcare provider. based in St louis, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 2004020474 (MO). The NPI Number for DR. JOHN JACOB LONG (DO) is 1063442648

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN JACOB LONG (DO)
NPI
1063442648
Phone
(800) 862-9980
Address
660 S EUCLID AVE CB 8054
Enumeration Date
3 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3149965000
Graduation Year
1993 (33 years ago)
PAC ID
2264497502
Group Practice PAC ID
3476461955
Professional Enrollment ID
I20041129000098
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,228 ANESTHESIOLOGY in MO

Provider Addresses for DR. JOHN JACOB LONG (DO)

  • 660 S EUCLID AVE CB 8054

    DEPT OF ANESTHESIOLOGY

    ST LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • 2 PROGRESS POINT PKWY DEPT OF

    O FALLON, MO 633682205

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 2 PROGRESS POINT PKWY

    DEPT ANESTHESIOLOGY

    O FALLON, MO 633682205

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 660 S EUCLID AVE

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Chiesi USA, Inc. ($34).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041129000098IAnesthesiologyMOTBD
I20070806000357IAnesthesiologyNCTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2525$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

Loading plans...

Provider's Procedures

DR. JOHN JACOB LONG (DO) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNC00142Anesthesia for lens surgery6965
ANESTHESIOLOGYNC01402Anesthesia for open or endoscopic total knee joint replacement6665
ANESTHESIOLOGYNC36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2828
ANESTHESIOLOGYNC76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3333

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476461955View full group profile
NameSpecialtyState
Physician AssistantMO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
O B S T E T R I C S/ G Y N E C O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
O B S T E T R I C S/ G Y N E C O L O G YMO
A N E S T H E S I O L O G YMO

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.

Frequently asked questions

What federal number belongs to DR. JOHN JACOB LONG (DO)?
The federal identifier for DR. JOHN JACOB LONG (DO) is NPI 1063442648.
Is DR. JOHN JACOB LONG (DO) currently active in the NPI registry?
CMS-published data lists DR. JOHN JACOB LONG (DO) as an active registrant.
What field does DR. JOHN JACOB LONG (DO) work in?
You can think of DR. JOHN JACOB LONG (DO) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN JACOB LONG (DO) practice in Missouri?
You will see St Louis, Missouri on file for DR. JOHN JACOB LONG (DO) alongside any extra practice locations.
Is DR. JOHN JACOB LONG (DO) a real provider?
This page reflects official NPPES data for NPI 1063442648. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MRS. NATALIE WONG CALHOON (M.D.)

Anesthesiology Physician
1066, Executive Parkway Drive, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1487650768

DR. TATYANA R DEMIDOVICH (MD)

Anesthesiology Physician
3635 VISTA AVE FDT3
NPI: 1376539668

KEVIN M OCONNOR (MD)

Anesthesiology Physician
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
NPI: 1417936246

JEFFREY OWEN BRAY (DO)

Anesthesiology Physician
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
NPI: 1245219088

KUMIKO SHIMODA (MD)

Anesthesiology Physician
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
NPI: 1366422958

BARUGUR S. RAVI (M.D.)

Anesthesiology Physician
Lofts at the Highlands, 1031, Highlands Plaza Drive West, Cheltenham, City of Saint Louis, Missouri, 63110, United States
NPI: 1164493441

PREMIER ANESTHESIA LLC

Anesthesiology Physician
North Outer Forty, Town and Country, Saint Louis County, Missouri, 63006, United States
NPI: 1225073828

SPECIALISTS IN ANESTHESIA PC

Anesthesiology Physician
3933, South Broadway, Dutchtown, St. Louis, Missouri, 63118, United States
NPI: 1689619280

MARION F SVENDROWSKI (MD)

Anesthesiology Physician
3691 RUTGER AVE
NPI: 1861417669