Active NPI
Gary David Koenig, M.D.
- Gastroenterology Physician
- Hazelwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MDR3G44
- Practice address
- 100 Village SQ
Hazelwood, MO 63042-1820 - Phone
- (314) 355-4010
- Fax
- (314) 355-9484
- NPI assigned
- Aug 25, 2005
- Last updated
- Feb 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MDR3G44 | MO | Primary |
| Gastroenterology Physician | 207RG0100X | RG344 | MO |
Addresses
Primary practice location
100 Village SQ
Hazelwood, MO 63042-1820
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 355-4010
Other practice location 1
20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207
Phone (636) 344-1073
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Saint Louis University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Hospital Dr
Suite 100
Saint Peters, MO 63376-1659
Phone (636) 916-7272
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
901 Patients 1St Dr
Suite 3300
Washington, MO 63090-4700
Phone (636) 239-7344
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.37 of 100
- Quality
- 79.66
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR3G44 | MO | MD | Gastroenterology Physician |
| RG344 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Gastroenterology | Current | Accepting new patients |
| Physician Groups LC | Current | Accepting new patients | |
| Mercy Clinic Gastroenterology, LLC | Gastroenterology | Current | Accepting new patients |
Locations
200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880
20 Progress Point Pkwy
Ste 206
O Fallon, MO 63368
Phone (636) 344-1073
901 Patients First Dr
Ste 3300
Washington, MO 63090
Phone (636) 231-6044
Interoperability endpoints
- gary.koenig.p1@direct.essehealth.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1528295334
-
- Gastroenterology Physician
- Hazelwood, MO
- NPI 1427175645
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barnes-Jewish St Peters Hospital
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- O'Fallon, MO
- NPI 1508938044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1861485724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-355-4010",
"fax_number": "314-355-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE SQ",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421820",
"telephone_number": "314-355-4010",
"fax_number": "314-355-9484"
}
],
"practiceLocations": [
{
"address_1": "20 Progress Point Pkwy Ste 206",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633682207",
"country_code": "US",
"telephone_number": "636-344-1073",
"fax_number": "636-916-9953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOENIG",
"first_name": "GARY",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "MDR3G44",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "RG344",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20 Progress Point Pkwy Ste 206",
"city": "O Fallon",
"state": "MO",
"country_code": "US",
"postal_code": "633682207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.