ANDREA LEE HANICK – Facial Plastic Surgery Physician, NPI 1013304914
Facial Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for ANDREA LEE HANICK
FACIAL PLASTIC SURGERY CENTER
1044 NORTH MASON ROAD, MOB4, SUITE L10
CREVE COEUR, MO 63141
Phone: (314) 996-3880
Type: Location
Facial Plastic Surgery Center
1044 North Mason Road, MOB4, Suite L10
Creve Coeur, MO 63141
Phone: (314) 996-3880
Type: Location
9500 Euclid Ave
Cleveland, OH 441950001
Phone: (216) 444-2200
Fax: (216) 445-9409
Type: Location
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
660 SOUTH EUCLID AVENUE, CB 8115
SAINT LOUIS, MO 63110
Phone: (314) 362-7509
Type: Mailing
1000 W NIFONG BLVD STE 100
COLUMBIA, MO 652035615
Phone: (573) 214-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Grifols USA, LLC ($107).
Total Amount
$107
General + Research + Ownership
Payments
1
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $107 |
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: 2020-07-28
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 |
|---|---|---|---|---|
| I20200728000584 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 470 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 82 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 100 | 100 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 56 | 46 | $0 |
Insurance plans in this area (ZIP 63141)
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