MR. JASTIN L ANTISDEL (MD) – Otolaryngology Physician, NPI 1073714564
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for MR. JASTIN L ANTISDEL (MD)
1225 S GRAND BLVD
GARDEN LEVEL
SAINT LOUIS, MO 631041016
Phone: (314) 977-5110
Fax: (314) 977-7686
Type: Location
1008 S SPRING AVE FL 3
SAINT LOUIS, MO 631102520
Phone: (314) 977-8884
Fax: (314) 977-1820
Type: Mailing
555 N New Ballas Rd Ste 260
Saint Louis, MO 631416886
Phone: (314) 977-6362
Fax: (314) 977-7686
Type: Location
SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
GFDT
ST. LOUIS, MO 63110
Phone: (314) 577-8884
Fax: (314) 268-5111
Type: Mailing
3660, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
SUITE 312
ST. LOUIS, MO 63110
Phone: (314) 977-5110
Fax: (314) 977-5119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GENZYME CORPORATION ($114).
Total Amount
$168
General + Research + Ownership
Payments
4
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $114 |
| Ethicon US, LLC | $24 |
| Medtronic, Inc. | $16 |
| Inspire Medical Systems, Inc. | $13 |
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: 2010-07-02
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 |
|---|---|---|---|---|
| I20100702000378 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 49 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 58 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Pediatric Medicine | IL | |
| G A S T R O E N T E R O L O G Y | WV | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Infectious Disease | OH | |
| Physician Assistant | MO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO |
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