DR. KAREN ALBERS LICKENBROCK (M.D.) – Family Medicine Physician, NPI 1134440126

DR. KAREN ALBERS LICKENBROCK (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. R9J00 (MO). The NPI Number for DR. KAREN ALBERS LICKENBROCK (M.D.) is 1134440126

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREN ALBERS LICKENBROCK (M.D.)
NPI
1134440126
Phone
(314) 543-5294
Address
2900 LEMAY FERRY RD
Enumeration Date
14 June 2010
Last Update Date
15 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6363901777
Graduation Year
1986 (40 years ago)
PAC ID
4284759473
Group Practice PAC ID
2365739240
Professional Enrollment ID
I20100910000860
Address ID
MO630905343WA555XXSQXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. KAREN ALBERS LICKENBROCK (M.D.)

  • 2900 LEMAY FERRY RD

    SAINT LOUIS, MO 631253900

    Phone: (314) 543-5294

    Fax: (314) 892-1658

    Mailing address matches the actual address.

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: PFIZER INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$13
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: 2010-09-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100910000860IFamily PracticeMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes176157$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)8379$0
99203New patient office or other outpatient visit, 30-44 minutes7575$0
71046X-ray of chest, 2 views7168$0
87804Detection test by immunoassay with direct visual observation for influenza virus5431$0
View full utilization report →

Insurance plans in this area (ZIP 63125)

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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: 2365739240View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. KAREN ALBERS LICKENBROCK (M.D.)?
NPI 1134440126 is assigned to DR. KAREN ALBERS LICKENBROCK (M.D.) under the national enumeration system.
Is DR. KAREN ALBERS LICKENBROCK (M.D.)'s NPI currently valid?
The extract we use shows DR. KAREN ALBERS LICKENBROCK (M.D.) as active.
What kind of provider is DR. KAREN ALBERS LICKENBROCK (M.D.)?
The page reflects Family Medicine Physician for DR. KAREN ALBERS LICKENBROCK (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KAREN ALBERS LICKENBROCK (M.D.)?
The page summarizes Saint Louis, Missouri for DR. KAREN ALBERS LICKENBROCK (M.D.); expand the address list for detail.
Is DR. KAREN ALBERS LICKENBROCK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1134440126. Always confirm identity and privileges with the practice and licensing boards.

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