JOHN A STITH (MD) – Pediatric Otolaryngology Physician, NPI 1164449757

JOHN A STITH (MD) is a healthcare provider. based in St louis, Missouri. specializing in OTOLARYNGOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. R1K77 (MO). The NPI Number for JOHN A STITH (MD) is 1164449757

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
JOHN A STITH (MD)
NPI
1164449757
Phone
(314) 977-3828
Address
3691 RUTGER AVE
Enumeration Date
17 July 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9133596021
Graduation Year
1973 (53 years ago)
PAC ID
2264598903
Group Practice PAC ID
8921458720
Professional Enrollment ID
I20220721002972
Address ID
IL600676968PA453XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

320 OTOLARYNGOLOGY in MO

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Provider Addresses for JOHN A STITH (MD)

  • 3691 RUTGER AVE

    PROVIDER ENROLLMENT

    ST LOUIS, MO 63110

    Phone: (314) 977-3828

    Fax: (314) 977-6777

    Type: Mailing

  • Vista, St. Louis, Missouri, 63147, United States

    ST LOUIS, MO 63110

    Phone: (314) 577-8887

    Fax: (314) 268-5111

    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: 2022-07-21

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
I20090305000176IOtolaryngologyMOTBD
I20220721002972IOtolaryngologyILTBD

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
74230Imaging for evaluation of swallowing function5453$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2828$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 8921458720View full group profile
NameSpecialtyState
General SurgeryMI
General PracticeIL
O B S T E T R I C S/ G Y N E C O L O G YMI
General PracticeOH
Emergency MedicineIL
Internal MedicineMI
Internal Medicine, Hospitalist, Internal MedicineMI
Family PracticeOH
General PracticeNC
General PracticeKS

Reviews

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Frequently asked questions

What identifier follows JOHN A STITH (MD) across health systems?
The NPI 1164449757 uniquely identifies JOHN A STITH (MD) in U.S. healthcare data.
Should I treat JOHN A STITH (MD) as an active provider?
Patients and plans typically see JOHN A STITH (MD) as active in the national extract.
What services align with JOHN A STITH (MD)'s listing?
JOHN A STITH (MD)'s public classification highlights Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JOHN A STITH (MD)?
The directory associates JOHN A STITH (MD) with St Louis, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for JOHN A STITH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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