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Deactivated NPI 1699790402 Deactivated / Inactive NPI Male Practitioner

Dr. Shawn T Statzer , MD

Anesthesiology • St Louis, MO

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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. Shawn Statzer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2006
NPI Deactivation Date April 03, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Statzer, MD was a registered Anesthesiology practicing in St Louis, MO. Throughout an active medical career spanning 19 years, Dr. Statzer provided care at the practice location at 3635 VISTA until profile deactivation on 2025-04-03.

Historical Medicare Part B clinical services included insertion of artery tube for blood sampling or infusion through skin, anesthesia for electroshock therapy, anesthesia for open procedure on upper two-thirds of thigh bone. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3635 Vista

St Louis, MO 63110

Telephone 3145778750
Fax 3142685102
Associated Practice Facility / Clinic
🏢 St Louis University Facility NPI 1982676474

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in St Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
50 Specialists

Practicing in St Louis, MO (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin
14 13 $300.00 $43.34

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MO 106389

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Pin Yue , AA

Anesthesiologist Assistant

NPI 1083978647
NPI 1093906364

Doctor of Medicine (M.D.)

NPI 1134144934

Doctor of Medicine (M.D.)

NPI 1144464546

Doctor of Medicine (M.D.)

NPI 1164493441

Doctor of Medicine (M.D.)

NPI 1184911786

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

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Updated Practice Location March 05, 2021

Registered at 1201 S GRAND BLVD, SAINT LOUIS, MO 631041016 (Tel: 3149775700)

NPI Profile Active January 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 09, 2008

Registered at 3635 VISTA, ST LOUIS, MO 63110 (Tel: 3145778750)

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Updated Business Mailing Address January 09, 2008

Registered at 3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110 (Tel: 3149774440)

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Provider Name / Credentials Updated January 09, 2008

Recorded as SHAWN STATZER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2008

Anesthesiology (License #106389 in MO)

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Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699790402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: January 09, 2008
Deactivation Date: April 03, 2025

Mailing Address

3691 Rutger Ave, Provider Enrollment

St Louis, MO 63110

Phone: 3149774440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.