Individual provider Active NPI

Emily Griffard Goeller, M.D.

  • Dermatology Physician
  • St. Louis, MO
National Provider Identifier
1144516931
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2015011438 Issued in MO
Practice address
1058 Old Des Peres Road
St. Louis, MO 63131
Phone
(314) 266-0412
Fax
(314) 798-1579
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2015011438 MO Primary

Addresses

Primary practice location

1058 Old Des Peres Road
St. Louis, MO 63131

Mailing address

1058 Old Des Peres Road
St. Louis, MO 63131
Phone (314) 266-0412

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811003825 MO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8628202108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Dermatology LLCGroup PAC ID 8123544285, 4 clinicians

Practice addresses (Care Compare)

1058 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 266-0412

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as individual
Quality
83.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1166
Skin biopsy178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Dermatology LLC Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Curators of the University of Missouri CurrentSince Jul 22, 2015 Accepting new patients
The Curators of the University of Missouri CurrentSince Jul 22, 2015 Accepting new patients
Epiphany Dermatology of Missouri, LLC Dermatology PastSince Aug 1, 2015 Accepting new patients

Locations

1 Hospital Dr
#111
Columbia, MO 65201

4230 Philips Farm Rd
Columbia, MO 65201
Phone (573) 882-4800

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1058 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 266-0412

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1144516931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 OLD DES PERES ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-266-0412",
            "fax_number": "314-798-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 OLD DES PERES ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-266-0412",
            "fax_number": "314-798-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "EMILY",
        "middle_name": "GRIFFARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2015011438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT",
            "address_1": "1 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.