Eric Scott Baggstrom, MD
Individual provider Active NPI Internal Medicine Physician · Town and Country, MO
NPI 1487677308 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1487677308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2004036761 (MO)
- Practice address
- 1068 S Woods Mill Rd Ste 220
Town and Country, MO 63017-8333 - Phone
- (314) 394-1379
- Fax
- (314) 394-1377
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher T Labonte MD LLC
Practice addresses (Care Compare)
10441 International Plaza Dr
Saint Ann, MO 63074-1805
Phone (314) 423-1254
1204 Telegraph Rd
Saint Louis, MO 63125-2528
Phone (314) 631-2003
2711 Union Blvd
Saint Louis, MO 63113-1003
Phone (314) 383-7310
4336 Lindell Blvd
Saint Louis, MO 63108-2702
Phone (314) 652-4828
4361 Olive St
Saint Louis, MO 63108-2621
Phone (314) 531-2981
5143 Waterman Blvd
Central Residence
St Louis, MO 63108-1103
Phone (314) 367-5620
5349 Hwy P
Cuba, MO 65453-6281
Phone (573) 885-3661
5415 Thekla Ave
Saint Louis, MO 63120-2513
Phone (314) 932-1360
Hospital & facility affiliations
- Heritage Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.85 of 100
- Quality
- 90.29
- Improvement activities
- 40
- Cost
- 69.1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050526000232 | MO | Practitioner - Internal Medicine | 8628010998 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher T. Labonte MD LLC | Internal Medicine | Current |
Accepting new patients |
| Wakemed Faculty Practice Plan | Hospitalist | Past | Accepting new patients |
| Wakemed Faculty Practice Plan | Internal Medicine | Past | Accepting new patients |
| Heritage Care Center of Berkeley, LLC | Past | Accepting new patients |
Locations
13131 Tesson Ferry Rd
Ste 220
Saint Louis, MO 63128
Phone (314) 394-1379
1204 Telegraph Rd
Saint Louis, MO 63125
Phone (314) 631-2003
1068 S Woods Mill Rd
Ste 220
Town and Country, MO 63017
Phone (314) 394-1379
1068 S Woods Mill Rd
Twn and Cntry, MO 63017
Phone (314) 394-1379
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2004036761 | MO | |
| Internal Medicine Physician | 207R00000X | 2004036761 | MO | Yes |
Addresses
Primary practice location
1068 S Woods Mill Rd Ste 220
Town and Country, MO 63017-8333
Mailing address
1068 S Woods Mill Rd Ste 220
Town and Country, MO 63017-8333
Phone (314) 394-1379
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209094606 | Medicaid | MO |
Other providers in Town and Country, MO
- Anthology Senior Living/Ca Ventures
- Alicia Arens
- Jessica Lynn Baker
- Kasia Barron
- Irena Bartnick
- Shelby Mauree Beck
- Christine D Berg
All providers in Town and Country, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.