DR. JAY F PICCIRILLO (MD) – Otolaryngology Physician, NPI 1124059647

DR. JAY F PICCIRILLO (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 100334 (MO). The NPI Number for DR. JAY F PICCIRILLO (MD) is 1124059647

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAY F PICCIRILLO (MD)
NPI
1124059647
Phone
(314) 362-7509
Address
1040 N MASON RD STE 123
Enumeration Date
5 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
0042345837
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100318000503
Address ID
MO631101010ST660XXBOXX511
Telehealth
Yes

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
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

320 OTOLARYNGOLOGY in MO

Provider Addresses for DR. JAY F PICCIRILLO (MD)

  • 1040 N MASON RD STE 123

    STE 123

    SAINT LOUIS, MO 631416361

    Phone: (314) 362-7509

    Fax: (314) 432-8208

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8115

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7509

    Fax: (314) 362-7522

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7509

    Fax: (314) 362-7522

    Type: Mailing

  • 1044 N MASON RD

    DEPT OTOLARYNGOLOGY, STE L20

    CREVE COEUR, MO 631416431

    Phone: (314) 362-7509

    Fax: (314) 362-7522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-18

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
I20100318000503IOtolaryngologyMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8975$0
69210Removal of impacted ear wax6345$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
J3490Unclassified drugs1815$0
31238Control of bleeding of nose using an endoscope1815$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

How is DR. JAY F PICCIRILLO (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JAY F PICCIRILLO (MD) with NPI 1124059647.
Is DR. JAY F PICCIRILLO (MD) still practicing?
DR. JAY F PICCIRILLO (MD) is currently listed as active in the public NPI registry.
What is DR. JAY F PICCIRILLO (MD)'s primary classification?
Otolaryngology Physician is the headline specialty for DR. JAY F PICCIRILLO (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JAY F PICCIRILLO (MD) on a map?
Expect Saint Louis, Missouri as a primary anchor for DR. JAY F PICCIRILLO (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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