PATRICE STATEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1154481364
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for PATRICE STATEN (M.D.)
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 620628501
Phone: (618) 391-6405
Fax: (618) 288-4088
Type: Mailing
State Route 162, Maryville, Madison County, Illinois, 62294, United States
MARYVILLE, IL 620628501
Phone: (618) 288-9320
Fax: (618) 288-9258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Exeltis, USA Inc. ($88).
Total Amount
$301
General + Research + Ownership
Payments
17
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $88 |
| Astellas Pharma US Inc | $64 |
| Amgen Inc. | $59 |
| Organon LLC | $40 |
| Dexcom, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040414001315 | I | Obstetrics/Gynecology | IL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 84 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 38 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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