DR. TERENCE MICHAEL MYCKATYN (MD) – Plastic and Reconstructive Surgery Physician, NPI 1598781718
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
162 PLASTIC AND RECONSTRUCTIVE SURGERY in MO
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Provider Addresses for DR. TERENCE MICHAEL MYCKATYN (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-7388
Fax: (833) 301-0853
Type: Mailing
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
MSC 8238-43-1150
SAINT LOUIS, MO 631101010
Phone: (314) 362-7388
Fax: (314) 367-0225
Type: Mailing
1020, Mason Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
DIV SURG PLASTICS, MOB 3 STE 110
SAINT LOUIS, MO 631416666
Phone: (314) 362-7388
Fax: (833) 301-0853
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $73,095.
Total Amount is formed as General ($73,095) + Research ($0) + Ownership ($0) = $73,095.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: RTI SURGICAL, INC ($72,145).
Total Amount
$73,095
General + Research + Ownership
Payments
31
Total payment records
General Amount
$73,095
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RTI SURGICAL, INC | $72,145 |
| ABBVIE INC. | $236 |
| Acera Surgical, Inc. | $213 |
| Mentor Worldwide LLC | $128 |
| Stryker Corporation | $120 |
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: 2010-01-23
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 |
|---|---|---|---|---|
| I20100123000128 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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