Jastin L Antisdel, MD
Otolaryngology (CMS) · Saint Louis, MO
At a glance
1225 S Grand Blvd, Saint Louis, MO 63104-1016
Published activity: Removal of tissue. View counts and coverage
NPPES record updated Jan 13, 2021. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1225 S Grand Blvd Garden LevelSaint Louis, MO 63104-1016
Additional reported practice locations
555 N New Ballas Rd Ste 260Saint Louis, MO 631416886
Phone: 3149776362
Fax: 3149777686
Education & affiliations
- Medical / professional school
- Saint Louis University School Of Medicine
- Graduation year
- 2004
- CMS specialties
- Otolaryngology
Practice groups
Reported hospital affiliations
- Ssm Health Saint Louis University Hospital Saint Louis, MO
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Removal of tissue | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Otolaryngology (CMS)
- Taxonomy code
- 207Y00000X
- Enumeration date
- May 30, 2007
- Record updated
- Jan 13, 2021
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
207Y00000X
License reported: 062018 GA
207Y00000X · Primary
License reported: 2005036993 MO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1225 S Grand BlvdGarden Level
Saint Louis, MO 63104-1016
- Phone
- (314) 977-5110
- Fax
- (314) 977-7686
Mailing address
1008 S SPRING AVE FL 3SAINT LOUIS, MO 631102520
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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