MARY BRIDGET KEEGAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1164733515

MARY BRIDGET KEEGAN (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 2010017094 (MO). The NPI Number for MARY BRIDGET KEEGAN (M.D.) is 1164733515

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARY BRIDGET KEEGAN (M.D.)
NPI
1164733515
Phone
(314) 898-1700
Address
1717 BIDDLE ST
Enumeration Date
30 June 2010
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3148148700
Graduation Year
2010 (16 years ago)
PAC ID
7517196256
Group Practice PAC ID
1052386919
Professional Enrollment ID
I20140828000250
Address ID
MO631184626SA3930XBROA300

Contacts

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
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for MARY BRIDGET KEEGAN (M.D.)

  • 1717 BIDDLE ST

    SAINT LOUIS, MO 631063454

    Phone: (314) 898-1700

    Fax: (314) 814-8542

    Type: Mailing

  • 3930 S BROADWAY

    SAINT LOUIS, MO 631184626

    Phone: (314) 898-1700

    Fax: (314) 814-8542

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2014-08-28

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
I20140828000250IObstetrics/GynecologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63106)

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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: 1052386919View full group profile
NameSpecialtyState
Family PracticeMO
Hospitalist, Internal MedicineMO
Family PracticeMO
Family PracticeMO
Clinical Social WorkerMO
C H I R O P R A C T I CMO
Clinical Social WorkerMO
Family PracticeTX
P S Y C H I A T R YTX
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

What unique ID ties claims to MARY BRIDGET KEEGAN (M.D.)?
NPI 1164733515 is assigned to MARY BRIDGET KEEGAN (M.D.) under the national enumeration system.
Is MARY BRIDGET KEEGAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARY BRIDGET KEEGAN (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for MARY BRIDGET KEEGAN (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY BRIDGET KEEGAN (M.D.)?
The page summarizes Saint Louis, Missouri for MARY BRIDGET KEEGAN (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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