ANNE MARIE BRIDEGROOM (PA) – Physician Assistant, NPI 1811262694
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for ANNE MARIE BRIDEGROOM (PA)
2421 Corporate Ctr Ste 105
Granite City, IL 620404195
Phone: (314) 830-2600
Fax: (314) 830-2648
Type: Location
5023 W 120TH AVE STE 312
BROOMFIELD, CO 800205606
Phone: (720) 644-9355
Type: Mailing
12230 LIONESS WAY
PARKER, CO 80134
Phone: (720) 644-9355
Type: Location
PO BOX 650
EDWARDSVILLE, IL 620250650
Phone: (314) 830-2600
Fax: (314) 830-2648
Type: Mailing
261 DUNN RD
FLORISSANT, MO 630317928
Phone: (314) 830-2600
Fax: (314) 830-2648
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $787.
Total Amount is formed as General ($787) + Research ($0) + Ownership ($0) = $787.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($652).
Total Amount
$787
General + Research + Ownership
Payments
58
Total payment records
General Amount
$787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $652 |
| Valinor Pharma, LLC | $113 |
| ABBVIE INC. | $21 |
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: 2022-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120514000219 | I | Physician Assistant | SC | TBD |
| I20221004000959 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 382 | 135 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 85 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 12 | 12 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation, Pain Management | IL |
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