DR. NICHOLAS JOHN MAYER (D.O.) – Nephrology Physician, NPI 1104075597

DR. NICHOLAS JOHN MAYER (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials D.O.. They hold a License No. 036123985 (IL). The NPI Number for DR. NICHOLAS JOHN MAYER (D.O.) is 1104075597

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS JOHN MAYER (D.O.)
NPI
1104075597
Phone
(314) 741-1600
Address
11155 DUNN RD
Enumeration Date
10 September 2008
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3147411600
Graduation Year
2004 (22 years ago)
PAC ID
4082767066
Group Practice PAC ID
6305130667
Professional Enrollment ID
I20090928000358
Address ID
IL620404641GR2044XAVEX354
Telehealth
Yes

Contacts

Secure Messaging
nicholas.mayer.1@14360.direct.athenahealth.com
Secure Messaging
nmayer31089@direct.acumenmd.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. NICHOLAS JOHN MAYER (D.O.)

  • 11155, Dunn Road, Saint Louis County, Missouri, 63136, United States

    SUITE 211N

    SAINT LOUIS, MO 631366150

    Phone: (314) 741-1600

    Fax: (314) 741-1677

    Type: Location

  • 2044 Madison Ave Ste 15

    Granite City, IL 620404641

    Phone: (314) 741-1600

    Fax: (314) 741-1677

    Type: Location

  • 1265 GRAHAM RD STE 1

    FLORISSANT, MO 630318018

    Phone: (314) 741-1600

    Fax: (314) 741-1677

    Type: Location

  • Dunn Road, Riverview, Spanish Lake, Saint Louis County, Missouri, 63138, United States

    SAINT LOUIS, MO 631366166

    Phone: (314) 741-1600

    Fax: (314) 741-1677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,089.

Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($315).

Total Amount

$1,089

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,089

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-09-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090810000242IInternal MedicineMOTBD
I20090928000358IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes253125$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17765$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)15441$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15345$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6447$0
View full utilization report →

Insurance plans in this area (ZIP 63136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305130667View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Internal Medicine, NephrologyAL
Nephrology, Internal MedicineMO
Internal Medicine, NephrologyMO
Internal Medicine, Nephrology, Nephrology, Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference DR. NICHOLAS JOHN MAYER (D.O.)?
For DR. NICHOLAS JOHN MAYER (D.O.), use NPI 1104075597 as the unique 10-digit identifier.
Is DR. NICHOLAS JOHN MAYER (D.O.) shown as active in public data?
Registry records indicate DR. NICHOLAS JOHN MAYER (D.O.) maintains an active NPI.
How would a patient describe DR. NICHOLAS JOHN MAYER (D.O.)'s focus?
For DR. NICHOLAS JOHN MAYER (D.O.), the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICHOLAS JOHN MAYER (D.O.) associated with Saint Louis?
Public fields place DR. NICHOLAS JOHN MAYER (D.O.) around Saint Louis, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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