ANTHONY A MIKULEC (MD) – Otology & Neurotology Physician, NPI 1104843176
Otology & Neurotology Physician
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Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
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Provider Addresses for ANTHONY A MIKULEC (MD)
Vista, St. Louis, Missouri, 63147, United States
ST LOUIS, MO 63110
Phone: (314) 577-8887
Fax: (314) 268-5111
Type: Location
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone: (314) 977-4440
Type: Mailing
1225 S. GRAND
DOOR 3
ST. LOUIS, MO 63104
Phone: (314) 977-5110
Fax: (314) 977-7686
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Ethicon US, LLC ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $24 |
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: 2004-09-09
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 |
|---|---|---|---|---|
| I20040909000179 | 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 | 209 | 154 | $0 |
| 69210 | Removal of impacted ear wax | 147 | 64 | $0 |
| 92504 | Exam of ear using a microscope | 114 | 74 | $0 |
| 69222 | Complex removal of skin debris and drainage of mastoid cavity | 39 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 36 | 28 | $0 |
Insurance plans in this area (ZIP 63110)
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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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