DR. JONATHAN NICHOLAS BYRD (MD) – Internal Medicine Physician, NPI 1063707966

DR. JONATHAN NICHOLAS BYRD (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2014004993 (MO). The NPI Number for DR. JONATHAN NICHOLAS BYRD (MD) is 1063707966

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN NICHOLAS BYRD (MD)
NPI
1063707966
Phone
(314) 534-8600
Address
114 N TAYLOR AVE
Enumeration Date
20 June 2011
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143334100
Graduation Year
2011 (15 years ago)
PAC ID
6901034826
Group Practice PAC ID
6002895893
Professional Enrollment ID
I20140521002269
Address ID
MO631082979SA4320XAVEX402
Telehealth
Yes

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. JONATHAN NICHOLAS BYRD (MD)

  • 114 N TAYLOR AVE

    SAINT LOUIS, MO 631082102

    Phone: (314) 534-8600

    Fax: (314) 652-8138

    Type: Location

  • PO BOX 7412037

    CHICAGO, IL 606742037

    Phone: (314) 333-4100

    Fax: (314) 333-4115

    Type: Mailing

  • 4320 FOREST PARK AVE

    STE 1100

    SAINT LOUIS, MO 631082979

    Phone: (314) 333-4100

    Fax: (314) 333-4115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Novo Nordisk Inc ($83).

Total Amount

$208

General + Research + Ownership

Payments

11

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

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: 2014-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140521002269IInternal MedicineMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes486259$0
99213Established patient office or other outpatient visit, 20-29 minutes354255$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count304256$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit274274$0
80053Blood test, comprehensive group of blood chemicals270234$0
View full utilization report →

Insurance plans in this area (ZIP 63108)

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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: 6002895893View full group profile
NameSpecialtyState
Internal MedicineMO
-MO
Nurse PractitionerMO
Endocrinology, Internal MedicineMA
Internal MedicineMO
Nurse PractitionerMO
Endocrinology, Internal MedicineIL
Internal MedicineMO
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JONATHAN NICHOLAS BYRD (MD)'s NPI?
Yes. DR. JONATHAN NICHOLAS BYRD (MD) is listed with NPI 1063707966 in the public NPI dataset.
Can I rely on DR. JONATHAN NICHOLAS BYRD (MD) being an active provider?
As of the registry snapshot, DR. JONATHAN NICHOLAS BYRD (MD) is marked active.
What is DR. JONATHAN NICHOLAS BYRD (MD)'s specialty?
The listing groups DR. JONATHAN NICHOLAS BYRD (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JONATHAN NICHOLAS BYRD (MD) serve?
DR. JONATHAN NICHOLAS BYRD (MD)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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