Individual provider Active NPI

William Chris Kostman, M.D.

  • Orthopaedic Surgery Physician
  • Creve Coeur, MO
National Provider Identifier
1912986506
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
113686 Issued in MO
Practice address
10448 Old Olive St Rd
Ste 200
Creve Coeur, MO 63141
Phone
(314) 597-8887
Fax
(314) 447-9559
NPI assigned
Jan 11, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 113686 MO Primary

Addresses

Primary practice location

10448 Old Olive St Rd
Ste 200
Creve Coeur, MO 63141

Mailing address

10448 Old Olive Street Rd
Creve Coeur, MO 63141-5967
Phone (314) 966-8887

Other identifiers 7

IdentifierTypeStateIssuer
335518OtherMOHEALTHLINK
5596509OtherMOAETNA
009219OtherMOEXCLUSIVE CHOICE
113052OtherMOBLUE CROSS BLUE SHIELD
55165OtherMOGHP
G59783OtherMOMERCY #80
0900444OtherMOUNITED HEALTH CARE

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
I20130627000400 MO Practitioner - Orthopedic Surgery 9032168794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medbilling LLCGroup PAC ID 3678971397, 2 clinicians

Practice addresses (Care Compare)

10448 Old Olive St Rd
Creve Coeur, MO 63141-5967
Phone (314) 597-8887

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113686MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medbilling LLC Orthopaedic Surgery CurrentSince Jul 10, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1001 S Kirkwood Rd
Ste 120
Saint Louis, MO 63122
Phone (314) 896-4263

10448 Old Olive Street Rd
Saint Louis, MO 63141
Phone (314) 317-1312

10448 Old Olive Street Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 597-8887

Organizations & group practices 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1912986506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415967",
            "telephone_number": "314-966-8887",
            "fax_number": "314-966-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE ST RD",
            "address_2": "STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-597-8887",
            "fax_number": "314-447-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTMAN",
        "first_name": "WILLIAM",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "113686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "335518",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5596509",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE",
            "identifier": "009219",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "113052",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "55165",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY #80",
            "identifier": "G59783",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0900444",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.