ANDREW J WAHLE (PA) – Emergency Medicine Physician, NPI 1306828819
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for ANDREW J WAHLE (PA)
Oak Brook Post Office, 1314, Kensington Road, Oak Brook, DuPage County, Illinois, 60523, United States
DEPT 4036 MIDWEST EMERGENCY ASSOCIATES DEPAUL LLC
OAK BROOK, IL 605224853
Phone: (630) 734-0200
Fax: (630) 734-1560
Type: Mailing
DePaul Health Center, 12303, DePaul Drive, Natural Bridge Junction, Bridgeton, Saint Louis County, Missouri, 63044, United States
DEPAUL HEALTH CENTER
BRIDGETON, MO 63044
Phone: (314) 344-6000
Fax: (630) 734-1560
Type: Location
9556 Manchester Rd
Saint Louis, MO 631191313
Phone: (314) 961-2255
Fax: (314) 373-5757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: PFIZER INC. ($52).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $52 |
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: 2004-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20040724000261 | I | Physician Assistant | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,200 | 12 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 292 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 215 | 209 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 120 | 119 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 86 | 86 | $0 |
Insurance plans in this area (ZIP 60522)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 81002 | Urinalysis, manual test | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | FL |
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