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- 3009 N Ballas Rd Ste 383C, Saint Louis, MO 63131
About Dr. Epstein
Howard R. Epstein, MD practices hospice & palliative medicine in Saint Louis, MO. Howard is a 1991 graduate of Washington University School of Medicine. Howard is also listed as specializing in internal medicine. According to Medicare claims data, Howard cared for 429 Medicare patients across 557 services. The services billed most often include advance care planning, first 30 minutes, subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, and subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes. The provider's National Provider Identifier (NPI) is 1306818182.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (314) 305-1447
- Email not available
Practice Locations
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
Conditions Commonly Evaluated or Treated
Within Hospice and Palliative Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Cancer Pain
Digestive & Nutrition
End of Life Symptoms
Mental Health
Neurological
- Advanced Dementia
- Advanced Huntington's Disease
- Advanced Multiple Sclerosis
- Advanced Parkinson's Disease
- Muscle Twitches And Spasms
- Severe Stroke Complications
- Tumor Pressing On Spinal Cord
- Amyotrophic lateral sclerosis
- Unresponsiveness
Nutrition & Digestion
- Bowel Obstruction In Cancer
- Cancer Treatment Side Effects and Nutrition
- Constipation From Pain Medicine
- Severe Weight Loss And Wasting
- Swallowing difficulties
Pain & Symptoms
- Severe Cancer Pain
- Ascites
- Cancer-related fatigue
- Fluid around the lungs
- Lymphedema
- Shortness of breath
Skin & Wound
Skin Conditions
Urinary & Bowel
Cancer Care
Chronic Illness
Fluid & Swelling
Lung Conditions
Mouth & Throat
Nerve & Pain
Sleep & Mental Health
Wound Care
Procedures & services
Breathing Support
Cancer care
Care Planning
- Advance Care Planning
- DNR Orders Discussion
- Medical Power Of Attorney Setup
- POLST Or DNR Consultation
- Stopping Tube Feeding Discussion
Catheter & Line Care
Consultations
Counseling & Support
Elder care
End of Life Care
Hospice Care
Hospice Services
Medication Management
- Hospice Emergency Comfort Kit
- Subcutaneous Butterfly Line Placement
- Deprescribing consultation
- Post-Op Nausea Prevention and Treatment
- Tapering Off Psychiatric Medication
Pain
Personal Care
Rehabilitation & Mobility
Specialized Care
Support Services
- Hospice Volunteer Companion Visits
- Hospital Bed And Equipment Setup At Home
- Respite Care For Families
- Family therapy
Wound Care
Fluid Drainage
Pain Management
Procedures Most Often Billed to Medicare
557 services · 429 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Advance care planning, first 30 minutes | Office visit | 99497 |
162 | More often than most peers in Hospice & Palliative Medicine |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
97 | More often than most peers in Hospice & Palliative Medicine |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
75 | As often as other peers in Hospice & Palliative Medicine |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Office visit | 99231 |
62 | More often than most peers in Hospice & Palliative Medicine |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
60 | More often than most peers in Hospice & Palliative Medicine |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
48 | As often as other peers in Hospice & Palliative Medicine |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
34 | More often than most peers in Hospice & Palliative Medicine |
| Advance care planning, each additional 30 minutes | Office visit | 99498 |
19 | As often as other peers in Hospice & Palliative Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other hospice & palliative medicines in Saint Louis 8
Same specialty, same city.
Trained at Washington University School of Medicine 2
Other providers in the same specialty who trained at the same institution.
More connections — 8 related providers in 1 group
Class of 1991 at Washington University School of Medicine 8
Providers who graduated from the same medical school in the same year.
Common questions
What kind of doctor is Dr. Epstein?
Dr. Epstein is a hospice & palliative medicine in Saint Louis, MO. That is the designation recorded for this NPI in the federal registry.
NPI registry
What is Dr. Epstein's address?
Dr. Epstein is listed at 3009 N Ballas Rd Ste 383C, Saint Louis, MO 63131. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Dr. Epstein?
The number on file is (314) 305-1447. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Dr. Epstein's NPI number?
Dr. Epstein's National Provider Identifier is 1306818182. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Epstein train?
Dr. Epstein attended Washington University School of Medicine, graduating in 1991. This comes from the CMS National Downloadable File.
CMS public data
How long has Dr. Epstein been practicing?
Dr. Epstein has 35 years experience. Calculated from a graduation year of 1991, reported in the CMS National Downloadable File.
CMS public data
What procedures does Dr. Epstein perform?
According to Medicare billing data, Dr. Epstein the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Dr. Epstein confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Epstein. If this is you, claiming it is free.
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Guide.md listings do not constitute medical advice or an endorsement.