Individual provider Active NPI

Athanasios Papakostas, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
National Provider Identifier
1588975346
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2021010996 Issued in MO
Practice address
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone
(314) 367-1181
NPI assigned
Jun 27, 2010
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2021010996 MO
Ophthalmology Physician 207W00000X 288286 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 288286 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 2021010996 MO Primary

Addresses

Primary practice location

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Mailing address

8820 Ladue Rd Ste 203
Saint Louis, MO 63124-2080
Phone (314) 367-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MO, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170612001389 NY Practitioner - Ophthalmology 2163680695 Reassigns benefits to 1 organization
I20210609001549 MO Practitioner - Ophthalmology 2163680695 Reassigns benefits to 1 organization
I20210616000785 IL Practitioner - Ophthalmology 2163680695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLCGroup PAC ID 9537259957, 16 clinicians

Practice addresses (Care Compare)

1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181

1600 S Brentwood Blvd
Suite 700
Brentwood, MO 63144-1304
Phone (314) 367-1181

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
95.45
Promoting interoperability
72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021010996MOMDRetina Specialist (Ophthalmology) Physician
288286NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Aug 1, 2017 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
River Rock Behavioral Health, LLC CurrentSince Sep 8, 2024 Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
Retina Consultants, LLC Retina Specialist CurrentSince Aug 2, 2021 Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Aug 2, 2021 Accepting new patients
Massachusetts Eye and Ear Infirmary PastSince May 1, 2020 Accepting new patients

Locations

903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933

5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771

5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011

1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161

1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937

1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144

226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

175 Shinn Ln
Hannibal, MO 63401
Phone (573) 248-0008

1600 S Brentwood Blvd
Ste 800
Saint Louis, MO 63144

17 The Boulevard Saint Louis
Saint Louis, MO 63117

2201 S Brentwood Blvd
Saint Louis, MO 63144
Phone 31436711812267

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 326-4800

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

525 E 68th St
Ste 856
New York, NY 10065
Phone (212) 620-3916

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1588975346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAKOSTAS",
        "first_name": "ATHANASIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-27",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2021010996",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "288286",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "288286",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2021010996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.