Individual provider Active NPI

John C Eagon, MD

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1801814538
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
101103 Issued in MO
Practice address
1044 N Mason Rd
Div Surg Mis, Ste 320
Saint Louis, MO 63141-6431
Phone
(314) 454-8877
Fax
(877) 991-4780
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 101103 MO Primary

Addresses

Primary practice location

1044 N Mason Rd
Div Surg Mis, Ste 320
Saint Louis, MO 63141-6431

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-8877

Other identifiers 1

IdentifierTypeStateIssuer
208724609MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20100219000318 MO Practitioner - General Surgery 4082758636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 273-7373

1 Barnes Jewish Hospital PLZ
Suite 200
Saint Louis, MO 63110-1003
Phone (314) 273-7373

1044 N Mason Rd
Medical Office 4
Saint Louis, MO 63141-6310
Phone (314) 362-2280

12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 273-7373

660 S Euclid Ave
Campus Box 8109
St Louis, MO 63110-1624
Phone (314) 362-7841

Hospital & facility affiliations

  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101103MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 1997 Accepting new patients
Washington University CurrentSince Jul 1, 1997 Accepting new patients
Barnes Jewish West County Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1044 N Mason Rd
Ste 320
Saint Louis, MO 63141
Phone (314) 454-8877

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1044 N Mason Rd
Ste 310
Saint Louis, MO 63141
Phone (314) 454-7177

4921 Parkview Pl
Ste 8C
Saint Louis, MO 63110
Phone (314) 454-8877

660 S Euclid Ave
#C
Saint Louis, MO 63110

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

1040 N Mason Rd
Ste 120
Saint Louis, MO 63141
Phone (314) 454-7177

Interoperability endpoints

  • Direct secure messaging: jeagon151569@direct.carenet.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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 7

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1801814538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-8877",
            "fax_number": "877-991-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N MASON RD",
            "address_2": "DIV SURG MIS, STE 320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416431",
            "telephone_number": "314-454-8877",
            "fax_number": "877-991-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGON",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "101103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208724609",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1044 N Mason Rd",
            "address_2": "Div Surg MIS, Ste 320",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.