DR. BRENTON PENNICOOKE (MD) – Neurological Surgery Physician, NPI 1093093064
Neurological Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
185 NEUROSURGERY in MO
Provider Addresses for DR. BRENTON PENNICOOKE (MD)
660 SOUTH EUCLID AVE
CAMPUS BOX 8057
ST. LOUIS, MO 631103901
Phone: (314) 747-6145
Fax: (314) 362-2107
Type: Mailing
517 S EUCLID AVE
SAINT LOUIS, MO 631101007
Phone: (314) 362-3577
Fax: (314) 362-2107
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-3577
Fax: (314) 362-2107
Type: Mailing
10 HOSPITAL DR
DEPT NEUROLOGICAL SURGERY
SAINT PETERS, MO 633761659
Phone: (314) 362-3577
Fax: (314) 362-2107
Type: Location
660 S EUCLID AVE
CB 8057
SAINT LOUIS, MO 631101010
Phone: (314) 747-6174
Fax: (314) 362-2107
Type: Mailing
4921 PARKVIEW PL
DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 631101032
Phone: (314) 362-3577
Fax: (314) 367-2017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $4,182.
Total Amount is formed as General ($4,182) + Research ($0) + Ownership ($0) = $4,182.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Alphatec Spine, Inc ($3,065).
Total Amount
$4,182
General + Research + Ownership
Payments
18
Total payment records
General Amount
$4,182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alphatec Spine, Inc | $3,065 |
| NuVasive, Inc. | $444 |
| Pacira Pharmaceuticals Incorporated | $152 |
| Aesculap Implant Systems, LLC | $140 |
| Stryker Corporation | $108 |
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: 2020-08-04
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 |
|---|---|---|---|---|
| I20200804001261 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 42 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
Reviews
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