DR. BROOKE NOELLE SHADEL (MD, PHD, MPH) – Dermatology Physician, NPI 1134327018
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for DR. BROOKE NOELLE SHADEL (MD, PHD, MPH)
5700, Milentz Avenue, Princeton Heights, City of Saint Louis, Missouri, 63109, United States
SAINT LOUIS, MO 631093528
Phone: (314) 435-5725
Type: Mailing
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631418221
Phone: (314) 251-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $879.
Total Amount is formed as General ($879) + Research ($0) + Ownership ($0) = $879.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($432).
Total Amount
$879
General + Research + Ownership
Payments
31
Total payment records
General Amount
$879
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $432 |
| Janssen Biotech, Inc. | $198 |
| Dermavant Sciences, Inc. | $124 |
| Verrica Pharmaceuticals Inc. | $36 |
| PFIZER INC. | $31 |
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: 2012-05-01
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 |
|---|---|---|---|---|
| I20120501000396 | I | Dermatology | 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 | 1,045 | 737 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,011 | 200 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 449 | 329 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 428 | 339 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 282 | 230 | $0 |
Insurance plans in this area (ZIP 63109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO |
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