TATYANA PETROSOVA (MD) – Nephrology Physician, NPI 1023089562
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
319 NEPHROLOGY in MO
Provider Addresses for TATYANA PETROSOVA (MD)
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 631415914
Phone: (314) 797-7074
Fax: (314) 227-5505
Type: Location
368, 16, Тимуровская улица, округ Прометей, Saint Petersburg, Northwestern Federal District, 190000, Russia
ST PETERS, MO 633760007
Phone: (636) 928-0078
Fax: (636) 928-0089
Type: Mailing
3009, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States
STE 142A
SAINT LOUIS, MO 631312322
Phone: (314) 993-4949
Fax: (314) 993-4945
Type: Location
PO BOX 653
CHESTERFIELD, MO 630060653
Phone: (314) 797-7074
Fax: (314) 227-5505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($53).
Total Amount
$76
General + Research + Ownership
Payments
6
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-01-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100130000058 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 473 | 143 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 390 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 83 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 123 | 108 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 102 | 22 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Physician Assistant | MO | |
| - | MO |
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