TERENCE M. MYCKATYN MD – NPI #1598781718
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

TERENCE MYCKATYN is a surgeon located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1598781718 to TERENCE MYCKATYN on July 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Apr 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TERENCE MYCKATYN below.

NPI Profile for
TERENCE M. MYCKATYN

NPI Number
1598781718
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TERENCE M. MYCKATYN
Credentials
MD
Primary location
1020 N MASON RD
DIV SURG PLASTICS, MOB 3 STE 110
SAINT LOUIS, MO 63141-6666
Phone: (314) 362-7388 Fax: (833) 301-0853
Mailing address
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone: (314) 362-7388 Fax: (833) 301-0853
Sole Proprietor
No
Updated
Identifiers

Identifiers for TERENCE MYCKATYN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO207820606
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 MO 2000173749
2086S0105X
- Surgery / Surgery of the Hand		 MO 2000173749
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck		 MO 2000173749

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1020 N MASON RD,
SAINT LOUIS, MO 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TERENCE MYCKATYN is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTON MEMORIAL HOSPITAL
      ONE MEMORIAL DRIVE
      ALTON, IL 62002
    • BARNES JEWISH HOSPITAL
      ONE BARNES-JEWISH HOSPITAL PLAZA
      SAINT LOUIS, MO 63110
    • BARNES-JEWISH WEST COUNTY HOSPITAL
      12634 OLIVE BOULEVARD
      CREVE COEUR, MO 63141

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.