Active NPI
William Chris Kostman, M.D.
- Orthopaedic Surgery Physician
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 113686
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335518 | Other | MO | HEALTHLINK |
| 5596509 | Other | MO | AETNA |
| 009219 | Other | MO | EXCLUSIVE CHOICE |
| 113052 | Other | MO | BLUE CROSS BLUE SHIELD |
| 55165 | Other | MO | GHP |
| G59783 | Other | MO | MERCY #80 |
| 0900444 | Other | MO | UNITED 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
Enrollment records 1
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
Practice addresses (Care Compare)
10448 Old Olive St Rd
Creve Coeur, MO 63141-5967
Phone (314) 597-8887
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113686 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medbilling LLC | Orthopaedic Surgery | Current | 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.
-
dba Performance Orthopedics
- Orthopaedic Surgery Physician
- Creve Coeur, MO
- NPI 1255835054
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.