Individual provider Active NPI

Eugene Kelly Gessert, AU.D.

  • Audiologist
  • O Fallon, MO
National Provider Identifier
1457559080
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100196 Issued in MO
Practice address
300 Winding Woods Dr Ste 208a
O Fallon, MO 63366-4773
Phone
(314) 251-5850
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 100196 MO Primary

Addresses

Primary practice location

300 Winding Woods Dr Ste 208a
O Fallon, MO 63366-4773

Mailing address

31 Winding Stair Way
O Fallon, MO 63368-6125
Phone (636) 728-8840

Other practice location 1

607 S New Ballas Rd Ste T-2170
Saint Louis, MO 63141-8222
Phone (314) 251-4235

Other practice location 2

12680 Olive Blvd Ste 210
Saint Louis, MO 63141-6322
Phone (314) 251-5850

Other identifiers 1

IdentifierTypeStateIssuer
337455505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000367 MO Practitioner - Qualified Audiologist 0941394647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

300 Winding Woods Dr
Suite 204a
O Fallon, MO 63366-4773
Phone (314) 251-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100196MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jun 30, 2024 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 17, 2024 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 17, 2024 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 17, 2024 Accepting new patients
Mercy Hospitals East Communities Audiologist CurrentSince Jun 17, 2024 Accepting new patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Hospital South CurrentSince Jun 17, 2024 Accepting new patients
Mercy Hospital South CurrentSince Jun 17, 2024 Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

300 Winding Woods Dr
Ste 208A
O Fallon, MO 63366
Phone (314) 251-5850

300 Winding Woods Dr
Ste 204A
O Fallon, MO 63366
Phone (314) 251-5850

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

621 S New Ballas Rd
Ste 385A
Saint Louis, MO 63141
Phone (314) 251-5850

10004 Kennerly Rd
Ste 200A
Saint Louis, MO 63128
Phone (314) 842-9975

615 S New Ballas Rd
Ste 482
Saint Louis, MO 63141

10004 Kennerly Rd
Ste 205A
Saint Louis, MO 63128
Phone (314) 525-4327

607 S New Ballas Rd
Ste T2170
Saint Louis, MO 63141
Phone (314) 251-4235

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

12680 Olive Blvd
Ste 210
Saint Louis, MO 63141
Phone (314) 251-5850

901 Patients First Dr
Ste 3500
Washington, MO 63090
Phone (636) 390-1570

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1457559080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WINDING STAIR WAY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686125",
            "telephone_number": "636-728-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR STE 208A",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664773",
            "telephone_number": "314-251-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S New Ballas Rd Ste T-2170",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418222",
            "country_code": "US",
            "telephone_number": "314-251-4235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12680 Olive Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416322",
            "country_code": "US",
            "telephone_number": "314-251-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GESSERT",
        "first_name": "EUGENE",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "100196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337455505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.