Dr. Edwin D. Wolfgram , MD
Specialist • Saint Louis, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Wolfgram has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edwin Wolfgram, MD was a registered Specialist practicing in Saint Louis, MO. Throughout an active medical career spanning 15 years, Dr. Wolfgram provided care at the practice location at 4500 W PINE BLVD until profile deactivation on 2023-11-15.
Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
4500 W Pine Blvd
Saint Louis, MO 631082186
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Saint Louis, MO
Practicing in Saint Louis, MO (503 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99231
Follow-up hospital inpatient care per day, typically 15 minutes
|
27 | 11 | $38.74 | $37.96 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Family
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 15, 2023
NPI status registered as active in NPPES database
Registered at 4500 W PINE BLVD, SAINT LOUIS, MO 631082186 (Tel: 3143671944)
Registered at 4500 W PINE BLVD, SAINT LOUIS, MO 631082186 (Tel: 3143671944)
Recorded as EDWIN WOLFGRAM, M.D.
Specialist (License #26350 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4500 W Pine Blvd
Saint Louis, MO 631082186
Phone: 3143671944
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