Ernest Alexander Graypel, MD
NPI 1265723407ActiveIndividual· Psychiatry & Neurology, Psychiatry· St Louis, MO
Psychiatry & Neurology, Psychiatry (MD) with Community and Long-Term Care Psychiatry LLC, practicing in St Louis, Missouri. 641 Medicare patients in 2024, $216,241 paid; nearly all of their 1,933 Part D prescriptions were generic (96%). Neurocrine Biosciences, Inc. was the largest of 17 companies reporting payments in 2025, $2,087 in all, mostly food and beverage. Lists Mercy Hospital South and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1265723407 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2011 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 2015002634 | MO |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | ME165573 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (FL); Practitioner - Psychiatry (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 641 |
|---|---|
| Services billed | 2,931 across 34 procedure codes |
| Paid by Medicare | $216,241 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,933 · 2,123 30-day fills |
|---|---|
| Patients | 235 |
| Total drug cost | $148,101 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Psychiatry |
| Secondary specialties | Geriatric Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Community and Long-Term Care Psychiatry LLCSaint Louis, MO · 14 clinicians
Hospital affiliations
- Mercy Hospital SouthSaint Louis, MO
- Ssm Health Saint Louis University HospitalSaint Louis, MO
- Ssm St Clare Health CenterFenton, MO
Industry payments (Open Payments)
- 2025$2,087 · 100 payments from 17 companies
- 2024$1,972 · 96 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $450.68 | 20 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $402.81 | 20 |
| Alkermes, Inc. | $225.81 | 10 |
| Alpha Cognition USA, Inc. | $189.99 | 6 |
| Axsome Therapeutics, Inc. | $149.16 | 9 |
What the 2025 payments were for
- Food and Beverage$2,087 · 100 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatrists in St Louis
- 1134284904
- 1265441299
- 1265539878
- 1588794689
- 1144321746
- 1801991781
- 1205052727
- 1366402612
- 1366565103
- 1396865499
- 1508928342
- 1518005271
All 33 psychiatrists in St Louis · All psychiatrists in Missouri